asked 3 years ago
Our directives state that we are allowed to administer 2 doses of epinephrine to a patient suffering from a severe allergic reaction and 1 dose to a VSA patient who has become VSA secondary to anaphylactic shock. Does this mean we are allowed to give a 2nd and possibly 3rd dose of epinephrine to a patient by following the moderate to severe allergic reaction medical directive post ROSC?
1 Answers
answered 3 years ago
Yes, this is correct. If your patient has achieved ROSC after suspected anaphylaxis and is still exhibiting signs of anaphylaxis, it is reasonable to follow the Moderate to Severe Allergic Reaction Medical Directive. Note, that in these reversible causes of arrest, and in the face of requiring further epinephrine, expedient transport to definitive care is paramount.
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