Hypotension
Because anaphylaxis can cause rapid profound vasodilation, hypotension should be treated with:
- NS 5-10 cc/kg in 5 min, up to 30cc/kg IV.
- Hetastarch® 500cc IV.
- Vasopressin 1-2 U IV.
- Dopamine 400 mg/500 cc NS at 2-20 mg/kg/min IV.
- Norepinephrine 0.05 mcg/kg/min IV.
- Glucagon 1-5 mg or 20-30 mcg/kg IV for unresponsiveness or Beta blockade; infusion: 5-15 mcg/min IV.
|
