STEP I : Promptly administer Aqueous Epinephrine (1:1000) uisng Table 1, below:
(calculation: 0.01 mL/kg to maximum of 0.5 mL)
STEP 2: Call for HELP. Helper to ensure 911/EMS is called.
STEP 3 : Place the client in a RECUMBENT position, with feet elevated if possible.
STEP 4 : Establish adequate airway.
STEP 5 : As an adjunct to epinephrine, a single dose of diphenhydramine hydrochloride (Benadryl®) 50 mg/mL should be given IM when the person is not responding well to epinephrine or persons who have responded to epinephrine(a short acting agent) but cannot be transferred to an acute care facility within 30 to 60 minutes. See Table 2 : Benadryl Dosages by Age, Weight & Route on next page.
Step 6: Monitor vital signs and reassess the situation frequently to guide medication use.