The following steps describe the management of anaphylaxis. Steps 1 to 4 are meant to be done rapidly or simultaneously. The priority is prompt administration of epinephrine (step 2), which should not be delayed if earlier steps cannot quickly be completed.
1.The Registered Nurse (RN) at the family medical centre will notify an on-site physician or NP (if physiciannot available) immediately.
2.Promptly administer Epinephrine as stated in Medication/Drug Table. Call 911.
3.Place the patient in a recumbent position, elevating the feet if possible.
4.Establish an oral airway if necessary.
5.Administer oxygen; apply 2-4L via NP or 15L mask. It should be given to patients with cyanosis, dyspnea orany other severe reaction. Monitor with pulse oximetry if available.
6.As an adjunct to epinephrine administration in a non-hospital setting, follow the appropriate algorithm inAppendix 1 and arrange for rapid transport to an Emergency Department as necessary.