ED Clinical Pathway for Evaluation/Treatment of Children with Anaphylaxis

Immediate Bedside RN Care

  1. Prepare to administer the following as needed:
    • O2 if sat < 95%
    • Epinephrine 1:1000 IM
    • Albuterol nebs
    • Racemic Epi nebs
  2. Place IV as necessary, and prepare to administer:
    • Normal saline 20 cc/kg, repeat as needed
    • Solumedrol
    • Diphenhydramine or Cetirizine
    • Ranitidine
  3. For Critcal/Acute patients, perform VS a minimum of q 15 minutes