Tretament of Anaphylaxis - gainer84

[ArchivalUser]

Do we give subcutaneous Epinephrine or IM epinephrine?????? MTB says subcut epinephrine

[ArchivalUser]

S/C

[ArchivalUser]

hey..check out kaplan ck book(peds allergy section), step 2uw and step 3 uw

its IM..IM & IM

no s/c

[ArchivalUser]

Ya, step3 UW says IM......... Thnx shigella and drstrider

[ArchivalUser]

SQ

[ArchivalUser]

Mild symptoms such as pruritus and urticaria can be controlled by administration of 0.3 to 0.5 mL of 1:1000 (1.0 mg/mL) epinephrine SC or IM, with repeated doses as required at 5- to 20-min intervals for a severe reaction

REF: Harrison

so no hard & fast rule for one modality

[ArchivalUser]

http://emedicine.medscape.com/article/13...w2aab6b6b3

UW also says IM.....

[ArchivalUser]

in severe case IV epinephrine but If an intravenous line cannot be established, the intramuscular dose can be injected into the posterior one third of the sublingual area

if it is mild...., then use subq epine

[ArchivalUser]

thnx sami