The role of epinephrine in the treatment of anaphylaxis.
Epinephrine is the cornerstone of anaphylaxis management. Its administration should be immediate upon evidence of the occurrence of anaphylaxis. Delays in administration may be fatal. The most appropriate administration is 0.3 to 0.5 mL of 1:1000 dilution intramuscularly for adults and 0.01 mg/kg for children, given in the lateral thigh. Patients with known anaphylactic reactivity should be prescribed an epinephrine auto-injector to be carried at all times for treatment of potential recurrences. Education of the patient or parent regarding the proper use of this tool is paramount.
Ellis
Anne K
AK
Division of Allergy, Kingston General Hospital, 76 Stuart Street, Kingston, ON K7L 2V7, Canada. ellisa@kgh.kari.net
Day
James H
JH
D000316:Adrenergic alpha-Agonists / Q000008:administration & dosage / Q000627:therapeutic use*; D000318:Adrenergic beta-Agonists / Q000008:administration & dosage / Q000627:therapeutic use*; D000707:Anaphylaxis / Q000188:drug therapy*; D004837:Epinephrine / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D013577:Syndrome
D000316:Adrenergic alpha-Agonists; D000318:Adrenergic beta-Agonists; D004837:Epinephrine