{"id":338,"date":"2021-03-11T05:29:29","date_gmt":"2021-03-11T05:29:29","guid":{"rendered":"https:\/\/blogs.rch.org.au\/clinicalguide\/?p=338"},"modified":"2021-03-11T05:29:29","modified_gmt":"2021-03-11T05:29:29","slug":"updated-cpg-anaphylaxis","status":"publish","type":"post","link":"https:\/\/blogs.rch.org.au\/clinicalguide\/updated-cpg-anaphylaxis\/","title":{"rendered":"Updated CPG: Anaphylaxis"},"content":{"rendered":"<p>The <a href=\"https:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Anaphylaxis\/\">Anaphylaxis<\/a> CPG has been updated and reviewed by interstate reviewers.<\/p>\n<p>The review has included an adjustment of adrenaline doses to be in line with Australasian Society of Clinical Immunology and Allergy (ASCIA) guidelines<\/p>\n<p><span style=\"font-size: 14pt\">The Key points for the CPG are<\/span><\/p>\n<ol>\n<li>Anaphylaxis is a <strong>multi-system<\/strong> severe allergic reaction characterised by an acute onset of <strong>cardiovascular<\/strong> (eg hypotension) or <strong>respiratory<\/strong> (eg bronchospasm) symptoms. It is usually associated with typical <strong>skin<\/strong> features (urticarial rash or erythema\/flushing and\/or angioedema) and\/or persistent severe <strong>gastrointestinal<\/strong> symptoms<\/li>\n<li>Treatment of anaphylaxis is intra-muscular adrenaline 10 microgram\/kg or 0.01 mL\/kg of <strong>1:1000<\/strong> (<strong>maximum 0.5 mL<\/strong>), into lateral thigh which should be repeated after 5 minutes if the child is not improving<\/li>\n<li>In children with possible anaphylaxis and known asthma, <strong>always give adrenaline first<\/strong>, then asthma medicines<\/li>\n<li><strong>Do not allow children with anaphylaxis to stand or walk<\/strong><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anaphylaxis was an existing Victorian CPG and will be considered for endorsement by PIC in April 2021. <\/p>\n","protected":false},"author":165,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11797,28,9503],"tags":[],"class_list":["post-338","post","type-post","status-publish","format-standard","hentry","category-individual-cpg-posts","category-news","category-newsletter"],"acf":[],"_links":{"self":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/338","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/users\/165"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/comments?post=338"}],"version-history":[{"count":1,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/338\/revisions"}],"predecessor-version":[{"id":339,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/posts\/338\/revisions\/339"}],"wp:attachment":[{"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/media?parent=338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/categories?post=338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.rch.org.au\/clinicalguide\/wp-json\/wp\/v2\/tags?post=338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}