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Anaphylaxis Checklist and Flowsheet - AAIFNC

1 Anaphylaxis Checklist and FlowsheetDate_____Name_____Weight kg. ( )_____ 911 called_____am/pmCHECKLIST Call 911 Anaphylaxis Cart O2 E-cylinder VS q 5 min BP cuff Supine Bag & mask 6l/min Green face mask 6l/min Pulse oximeter Functioning IV (2) Epinephrine 1:1,000 IM q 5-10 min. Dosing guidelinesAgeDoseAgeDose2-6 ml5 ml12 ml6-9 ml18 mo-4 ml10-13 ml>14 ml Epinephrine 1:10,000 ml/kg IV q 5-10 min. Solumedrol 2 mg/kg IV up to 125mg Benadryl 1mg/kg PO or IV up to 50mg Zantac 1 mg/kg IV up to 50 mg IV pole with Ringer s Lactate macrodrip, stopcock, 50 cc syringe Glucagon 1-5 mg IV followed by infusion of 5 to 15 mcg/min (1 mg in 1L D5W @ 5-15 ml/min)TimeHRBPP ulseO2

1 Anaphylaxis Checklist and Flowsheet Date_____ Name_____ Weight kg. (lb/2.2)_____ 911 called_____am/pm CHECKLIST

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Transcription of Anaphylaxis Checklist and Flowsheet - AAIFNC

1 1 Anaphylaxis Checklist and FlowsheetDate_____Name_____Weight kg. ( )_____ 911 called_____am/pmCHECKLIST Call 911 Anaphylaxis Cart O2 E-cylinder VS q 5 min BP cuff Supine Bag & mask 6l/min Green face mask 6l/min Pulse oximeter Functioning IV (2) Epinephrine 1:1,000 IM q 5-10 min. Dosing guidelinesAgeDoseAgeDose2-6 ml5 ml12 ml6-9 ml18 mo-4 ml10-13 ml>14 ml Epinephrine 1:10,000 ml/kg IV q 5-10 min. Solumedrol 2 mg/kg IV up to 125mg Benadryl 1mg/kg PO or IV up to 50mg Zantac 1 mg/kg IV up to 50 mg IV pole with Ringer s Lactate macrodrip, stopcock, 50 cc syringe Glucagon 1-5 mg IV followed by infusion of 5 to 15 mcg/min (1 mg in 1L D5W @ 5-15 ml/min)TimeHRBPP ulseO2


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