Anaphylaxis Paediatric
Assessment
Skin changes without systemic features are NOT anaphylaxis
Skin (20%)
- Erthema, Urticaria
- Pruritis, Angioedema
CVS
- Tachy or bradycardia (severe cases)
- ↓ BP, cyanosis
Respiratory
- Tongue swelling
- Voice changes, Stridor, Wheeze
GI
- D&V ! Abdo pain
Treatment
- Assess ABC
- High flow oxygen
- IM Adrenaline (flow diagram right for dose)
- REPEAT IM Adrenaline @ 5 mins if required
- Nebulised adrenaline if airway obstruction
- Treat ↓ BP with 20ml/kg fluid bolus
- Consider Salbutamol nebs if wheeze
- Antihistamines given for itch (not "collapse")
- PO prednisolone for all who require adrenaline
- Early anaesthetic involvement if airway obstruction
- Early paediatric involvement if requiring adrenaline
- Early ENT involvement if possibility surgical airway required
