FL_Medic Posted March 8, 2009 Share Posted March 8, 2009 Epi 1:1 IM, 0.3mg (IV if pre-arrest) Albuterol I think that they may have had a reaction to the Benadryl packaging (at least that is what a physician once told me, "it's not the Benadryl they are allergic to, it's the packaging") Phenergan is an option I guess. Solu-medrol 125mg IV Aggressive Airway management Link to comment Share on other sites More sharing options...
Katiebug Posted March 8, 2009 Share Posted March 8, 2009 I've never heard of phenergan as an antihistamine either. I'll be looking into that. As far as tx goes: epi IM, albuterol or duoneb updraft and prepare to intubate if no improvement seen. I've heard all the Benadryl allergy arguments, but I'm not willing to stake the kid's life on what my theory is. Diphenhydramine is out unless MC orders it. High flow deisel. Just looked it up. Promethazine is contraindicated in peds prehospital. Otherwise might be a good idea. Link to comment Share on other sites More sharing options...
kevkei Posted March 8, 2009 Share Posted March 8, 2009 Phenergan could also be used as an H1 histamine blocker. How about dimenhydrinate (Dramamine, Gravol)? Link to comment Share on other sites More sharing options...
Richard B the EMT Posted March 8, 2009 Share Posted March 8, 2009 At least I learned that Benadryl might have a dye contained in it, that might trigger an allergic reaction. Thanks, everyone, now continue the discussion, that I might learn more! Link to comment Share on other sites More sharing options...
itku2er Posted March 8, 2009 Share Posted March 8, 2009 At least I learned that Benadryl might have a dye contained in it, that might trigger an allergic reaction. Thanks, everyone, now continue the discussion, that I might learn more! It does I know I am allergic to the dye in benadryl. I never knew that you could use phenergan as an antihistamine. But if given IV you have to be careful it can ruin a vein in a heartbeat. Link to comment Share on other sites More sharing options...
island emt Posted March 9, 2009 Share Posted March 9, 2009 Actually Pheneregn is being removed and replaced with Zofran for N/V. Much less dangerous to the cellular tissues.. Can't remember where ,but I recently read that phenergen is being taken off market by manufacturer. Link to comment Share on other sites More sharing options...
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