Bronchospasm and Angioedema
If the patient has hypoxia, myocardial ischemia, or
needs epinephrine or Beta agonists he or she could
need 100% O2 or intubation and ventilation.
Drugs for bronchospasm or angioedema include:
- Albuterol: 2.5-5 mg in 3 ml NS nebulized or 100-200
mcg IV.
- Ipratropium: 500 mcg in 2.5 ml NS nebulized.
- Terbutaline: 250-500 mcg subcutaneous.
- H1 blockers: Diphenhydramine 1-2 mg/kg or 25-50
mg IV/IM/PO (under age 12: 12.5-25 mg) or
Hydroxyzine 25-100 mg IV/IM or 25 mg PO every 2-4
hours (pediatric: 12.5-25 mg).
- H2 blockers: Ranitidine 1 mg/kg IV/IM (pediatric IV:
12.5-50 mg).
- Corticosteroids: Hydrocortisone 0.5-1 mg/kg IV
initially, then 2.5 mg/kg every 4-6 hours.
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