ED Clinical Pathway for Evaluation/Treatment of Children with Anaphylaxis
Key Components of MD/CRNP/RN Assessment
CC: "Having an allergic reaction"
- Visual assessment of child's distress.
- Chest exam and adequacy of perfusion.
- Vital signs and pulse oximetry on all patients.
- Duration of symptoms
- Possible trigger
- Known allergy, review medical alert bracelet
- Current medications (prescription, OTC)
- Epipen used? When?
Review triage information:
- Assessment of respiratory/cardiovascular status.
- If Critical/Acute – place CR monitor, continuous pulse oximetry,
BP q 15 minutes
- Epipen dose/s
- Other medications given, doses and time
- Previous anaphylactic / allergic reactions
- Contact MD/CRNP for initial assessment, treatment
- Prepare for administration of IM epinephrine (1:1000)
- Page respiratory to administer neb if patient is stridorous, wheezing