Difference between revisions of "Contrast medium reaction"
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{|class="wikitable" | {|class="wikitable" | ||
− | !rowspan=2| Indication<ref name=SURF/> !!rowspan=2| Medication<ref name=SURF/> !!rowspan=2| Route<ref name=SURF/> !!colspan=2| Dosage<ref name=SURF/> !!rowspan=2| Time to effect<ref name=SURF/> || Repeat | + | !rowspan=2| Indication<ref name=SURF/> !!rowspan=2| Medication<ref name=SURF/> !!rowspan=2| Route<ref name=SURF/> !!colspan=2| Dosage<ref name=SURF/> !!rowspan=2| Time to effect<ref name=SURF/> ||rowspan=2| Repeat |
|- | |- | ||
! Adults !! Children | ! Adults !! Children | ||
Line 60: | Line 60: | ||
*6 - 12 years: 5 mg desloratadine | *6 - 12 years: 5 mg desloratadine | ||
| Within 30-60 minutes | | Within 30-60 minutes | ||
+ | | Usually not | ||
|- | |- | ||
− | | All anaphylaxis cases | + | |rowspan=2| All anaphylaxis cases |
− | | Glucocorticoid such as betamethasone | + | |rowspan=2| Glucocorticoid such as betamethasone |
− | | Oral or | + | | Oral or IV |
+ | | | ||
+ | *5-8 mg betamethasone | ||
| | | | ||
− | * | + | *<6 years: 3-4 mg |
− | * | + | *≥6 years: 5-8 mg |
− | | | + | |rowspan=2| 2-3 hours |
− | + | | Usually not | |
+ | |- | ||
|} | |} | ||
==References== | ==References== | ||
{{reflist}} | {{reflist}} |
Revision as of 17:08, 22 May 2018
This page in a nutshell: |
Indication[1] | Medication[1] | Route[1] | Dosage[1] | Time to effect[1] | Repeat | |
---|---|---|---|---|---|---|
Adults | Children | |||||
|
Injection of adrenaline | Intramuscular in lateral thigh | 0.3 - 0.5 mg |
|
Less than 5 min | Every 5-10 min if needed |
Asthma | Salbutamol (Ventolin) or own bronchodilator | Inhalation |
|
|
Less than 5 min | Every 10 mins if needed |
Hypoxia | Oxygen | Mask | >5 l/min | Almost immediate | Continuous | |
Altered level of consciousness or hypotension | Volume expander such as Ringer's | IV with pressure | 20mg/kg | Fast | As needed | |
All anaphylaxis cases | Antihistamine such as desloratadine (Clarinex/Aerius) | Oral | 10mg of desloratadine |
|
Within 30-60 minutes | Usually not |
All anaphylaxis cases | Glucocorticoid such as betamethasone | Oral or IV |
|
|
2-3 hours | Usually not |