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• GJF
  • Joint Wound Care Formulary
  • . . . Introduction
  • 1. Gastro-Intestinal System
  • 2. Cardiovascular System
  • 3. Respiratory System
    • Administration of drugs to the lungs
    • 3.1 Bronchodilators
    • 3.2 Corticosteroids
    • 3.3 Cromoglicate, related therapy and leukotriene receptor antagonists
    • 3.4 Antihistamines, and the treatment of allergic emergencies
      • 3.4.1 Antihistamines
      • 3.4.2 Allergen Immunotherapy
      • 3.4.3 The treatment of allergic emergencies
    • 3.5 Respiratory stimulants and pulmonary surfactants
    • 3.6 Oxygen
    • 3.7 Mucolytics
    • 3.9 Cough preparations
  • 4. Central Nervous System
  • 5. Infections
  • 6. Endocrine System
  • 7. Obstetrics, Gynaecology and Urinary Tract Disorders
  • 8. Malignant Disease and Immunosuppresion
  • 9. Nutrition and Blood
  • 10. Musculoskeletal and Joint Disease
  • 11. Eye
  • 12. Ear, Nose and Oropharynx
  • 13. Skin
  • 14. Immunological products and vaccines
  • 15. Anaesthesia
  • Appendix 1. Drugs for emergency use in General Practice
  • Appendix 2. Palliative Care
  • Appendix 3. Oral Nutritional Supplements (ONS)
  • Appendix 4. Gluten-free and cow's milk protein-free products
  • Medicines No Longer included in the GJF
  • Medicines not recommended for use in NHS Grampian
• eGJF
• Medicines Management
• Policies
• News Letters
• Shared Care Protocols
• Patient Group Directions

3.4.3 Anaphylaxis

Refer to Resuscitation Council (UK) guidelines:
Emergency treatment of anaphylactic reactions - Guidelines for healthcare providers - www.resus.org.uk/pages/reaction.pdf

Adrenaline 1:1000 (1mg/mL) 0.5 mg IM (= 500 micrograms = 0.5 mL of 1:1000) should be given, (give IM unless experienced with IV adrenaline). Further doses can be given at about 5-minute intervals according to the patient's response.
Adrenaline auto-injectors, pre-assembled syringe with a needle suitable for rapid (IM) administration, are available for patients at risk of anaphylaxis.

After initial resuscitation:

Chlorphenamine 10mg injected slowly intravenously or intramuscularly may be given after the adrenaline. In the community, intramuscular injection may be used.

Hydrocortisone injection 200mg injected slowly intravenously or intramuscularly, taking care to avoid inducing further hypotension. Its onset of action is delayed for several hours, but it may prevent further deterioration in severely affected patients. In the community, intramuscular injection may be used.

PAEDIATRIC NOTES - TREATMENT OF ALLERGIC EMERGENCIES

Refer to Resuscitation Council (UK) Emergency treatment of anaphylactic reactions - Guidelines for healthcare providers.