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Wednesday, May 12, 2021

Anaphylaxis

St Emlyn´s - By Iain Beardsell - May 10, 2021Conclusion
“So in summary:
  • Never forget your physiology: BP = HR x SV x TPR
  • Give adrenaline early (via the IM route) if there is any sign of an ABC problem
  • Give a bolus of Hartmann’s if there is low blood pressure
  • Keep the patient lying flat
  • If things aren’t improving give more adrenaline
  • Antihistamines may help with skin symptoms but aren’t for routine use
  • Patients with a good response to treatment may be discharged after two hours of observation
And of course please read the entire guideline yourself for more information, including lots about how to treat refractory anaphylaxis.”