What is the doses of adrnline in drug allergy
0.05mcg/kg/min. Infusion, through central line, to titrated disciplined monitoring of all vital parameters.
1 in 1000- Anaphylactic shock(IM) 1 in 10000 - Cardiac Shock 1 in 100000- anesthesia
Doses of Adrenaline in severe Anaphylactoid and Anaphylactic reactions Adults: Inject adrenaline 1:1000intramuscularly: Small adults (<50 kg) give 0.25 mL Average adults (50-100 kg) give 0.50 mL Large adults (>100 kg) give 0.75 mL Children (up to 25 kg) Use adrenaline 1:10 000 (Dilute 1 ampoule -1 mL of adrenaline 1:1000 with 9 mL water for injection or normal saline). Inject intramuscularly up to a maximum of 500 microgram (5 mL) according to the guide (approximates to 10 microgram/kg). 1 year (10 kg) give 1 mL 3 years (15 kg) give 1.5 mL 5 years (20 kg) give 2 mL 8 years (25 kg) give 2.5 mL Children >25 kg as for small adults If there has been little or no response to the initial intramuscular dose of adrenaline, administer 5 microgram/kg slowly into the intravenous line. Repeat at 5 minute intervals depending on response. If the patient remains shocked, start an adrenaline infusion (preferably via a central venous line), commencing at 0.25 microgram/kg/minute. REF: Anaphylaxis Wall Chart By Aust Prescr 2001;24:112 DOI: 10.18773/austprescr.2001.136
01 cc/kg 1:1000 I v / S c
ADRENALINE.. ( I : 1000 ) IM
Cases that would interest you
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【Typical case of Anaplasmosis】 ●Watery blood ●Anemic mucus membrane ●Owner called for visit on 4th day of sickness, so here Temprature down to 100f ●Animal so much weak and deficate hard feces ●Blood smear also taken for confirmative diagnosis ●blood smear result was positive of Severe Anaplasmosis
Dr. Ketan Joshi14 Likes22 Answers - Login to View the image
Here is a P V CARD on management of anaphylaxis, it's very useful, particularly those who work in ED and critical care
Dr. Shivaji Mallampati21 Likes17 Answers - Login to View the image
A 40yrs old female patient presented in emergency with generalized erythematous eruption throughout her body to unknown drug with C/o Severe difficulty in breathing,Drowsiness,Restlessness.H/o Lap chole on 9/6/18 in other hospital.The next day after surgery she was having fever starting with itching all over body after given an unknown injection.O/e BP on Inotropes,Spo2 - 92%,Patient is on Hydrocortisone,Antihistamines,Broad spectrum antibiotics,Continue Oxygen support. N/h/o Comorbidies.All investigations enclosed. Kindly comment on this case with proper management plan??
Dr. Prashant Vedwan10 Likes17 Answers - Login to View the image
30 year old man...with joint pain fever, and hair loss.... what your diagnosis ?? intresting case
Dr. Mahmud Patel13 Likes15 Answers - Login to View the image
V v v important DRUGS OF CHOICE ---------------------------------- 1. Paracetamol poisoning- :- - acetyl cysteine 2. acute bronchial- asthma :- salbutamol 3. acute gout :- NSAIDS 4. acute hyperkalemia:- calcium gluconate 5. severe DIGITALIS toxicity :- DIGIBIND 6. acute migraine :- sumatriptan 7. cheese reaction :- phentolamine 8. atropine poisoning :- physostigmine 9. cyanide poisoning :- amyl nitrite 10. benzodiazepine poisoning:- flumazenil 11. cholera :- tetracycline 12. KALA-AZAR :- lipozomal amphotericin- B 13. iron poisoning :- desferrioxamine 14. MRSA :- vancomycin 15. VRSA :- LINEZOLID 16. warfarin overdose :- vitamin-K (NIPER- 2009) 17. OCD :- fluoxetine 18. alcohol poisoning :- fomepizole 19.Epilepsy in pregnancy: carbamezepine safe among older epileptics & lamotrigine, levitracetam safe in newer AED! 20. anaphylactic shock :- Adrenaline 21. MRSA Infection-Vancomycin 22. Malaria in Pregnancy-Chloroquine 23. Whooping Cough or Perteusis- Erythromycin 24. Kawasaki disease-IV Ig 25. Warferin Overdose-Vit-K 26. Heparin Overdose-Protamine 27. Hairy Cell Leukemia-Cladirabine 28. Multiple Myeloma- Melphalan 29. CML-Imatinib 30. Wegner's granulomatosis-Cyclophosphamide 31. HOCM- Propranolol 32. Delirium Tremens-Diazepam 33. Drug Induced Parkinsonism-Benzhexol 34. Diacumarol Poisoning-Vit-K 35. Type-1 Lepra Reaction-Steroids 36. Type- 2 Lepra Reaction-Thalidomide 37. Allergic Contect Dermatitis-Steroids 38. PSVT- 1st-Adenosine, 2nd-Verapamil, 3rd-Digoxin 39. Z-E Syndrome- Proton Pump Inhibitor 40. Chancroid-Cotrimoxazole 41. Dermatitis Herpetiformis-Dapsone 42. Spastic Type of Cerebral Palsy-Diazepam 43. Herpis Simplex Keratitis-Trifluridine 44. Herpes Simplex Orolabialis-Pancyclovir 45. Neonatal Herpes Simplex-Acyclovir 46. Pneumocystis carinii Pneumonia-Cotrimoxazole For Nodulo 47. 47. Cystic Acne-Retinoic acid 48. Trigeminal Neuralgia-Carbamezapine 49. Actinomycosis-Penicillin 50. Plague- Streptomycin 51. Opioid Withdrawal- Methadone 2nd-Clonidine 52. Alcohol Withdrawal- Chlordiazepoxide 2nd-Diazepam 53. Post Herpetic Neuralgia- Fluphenazine 54. WEST Syndrome-ACTH 55. Diabetic Diarrhoea- Clonidine 56. Lithium Induced Neuropathy-AmilorideCommunicable Disease: 57. Tetanus: PEN G Na; TETRACYCLINE; (DIAZEPAM 58. Diphteria: PEN G K; ERYTHROMYCIN 59. Pertusis: ERYTHROMYCIN; AMPICILLIN 60. Meningitis: MANNITOL (osmotic diuretic);DEXAM ETHASONE (anti-inflammatory); DILANTIN/PHENYTOIN (anti-convulsive); PYRETINOL/ENCEPHABO L (CNS stimulant) 61. Cholera: TETRACYCLINE 62. Amoebic Dysentery: METRONIDAZOLE 63. Shigellosis: CO-TRIMOXAZOLE 64. Typhoid: CHORAMPHENICOL 65. Rabies: LYSSAVAC, VERORAB 66. Immunoglobulins: ERIG or HRIg 67. Malaria: CHLOROQUINE 68. Schistosomiasis: PRAZIQUANTEL 69. Felariasis: DIETHYLCARBAMAZINE CITRATE 70. Scabies: EURAX/ CROTAMITON 71. Chicken pox: ACYCLOVIR/ZOVIRAX 72. Leptospirosis: PENICILLIN; TETRACYCLINE;ER YTHROMYCIN 73. Leprosy: DAPSONE, RIFAMPICIN 74. Anthrax: PENICILLIN 75. Tuberculosis: R.I.P.E.S. 76. Pneumonia: COTRIMOXAZOLE; ProcainePenicillin 77. Helminths: MEBENDAZOLE; PYRANTELPAMOATE 78. Meningitis: MANNITOL (dec. ICP) ;DEXAMETHASONE ( relieve cerebral edema) ;DIAZEPAM ( anticonvulsant); PENICILLIN 79. Syphilis: PENICILLIN 80. Gonorrhea: PENICILLIN...
Dr. Rummana Ansari27 Likes19 Answers
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