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How to Treat Anaphylactic Shock?


Things to note:
  • Cardiopulmonary revival.
  • Keep the airway open. Intubate, if needed.
  • Close monitoring of all important parameters( including pulse and blood pressure).
  • Relax and comfort the patient.
  • Patient guidance to avoid recurrence.
  • An alert bracelet should always be worn.

Medical Treatment:
Intravenous fluids

Set an intravenous line:
  • 0,9 percent sodium chloride, IV.
  • Adrenaline( epinephrine), IV slow, immediately 1:10 000 0,5 mg.
OR
  • Adrenaline( epinephrine) in the lateral thigh 1:1 000, IM 0.5 ml. Not in subcutaneous conditions.
PLUS
  • Hydrocortisone, IV, 200 mg, as a single dose immediately.
PLUS
  • Oxygen if bronchospasm.
  • Nebulised salbutamol, 5 mg diluted with 0.9 percent sodium chloride to a total 5 mL volume.
  • Nebulisation at 6-8 l / minute flow rate.
If you have itch:
  • Cetirizine, oral, 10 mg per dose.