ModeratePediatric
Pediatric moderate allergic-like reaction
Recognize
- Diffuse urticaria / pruritus in pediatric patient
- Facial edema without dyspnea
- Bronchospasm with mild or no hypoxia
- Throat tightness / hoarseness without dyspnea
Act — tap each step
Routine stepCritical stepCompleted
Medications
| Drug | Dose | Route |
|---|---|---|
| Albuterol MDI (peds) | 2 puffs (180 mcg) | Inhaled Repeat as needed |
| Diphenhydramine (peds) | 1 mg/kg (max 50 mg) | IV / IM |
| Epinephrine IM (peds) | 0.01 mg/kg (max 0.3 mg) | IM lateral thigh If progression to severe |
Notes
- Use weight-based dosing for all medications.
- NS 20 mL/kg bolus if hypotension develops.