ADULTS

Diphenhydramine – 50 mg PO, IM, or IV

Epipen® – Delivers 0.3 mg Epinephrine IM

Repeat every 5 min up to 3 doses PRN

Epinephrine IM – 1 mg/mL (1:1,000 solution): 0.3 mL

Repeat every 5 min up to 3 doses PRN

Epinephrine IV – 0.1 mg/mL (1:10,000 solution): 1 mL slowly (2-5 min)

Repeat to total of 10 mL PRN

Atropine – 0.6 – 1.0 mg slowly.

Can be repeated up to 0.04 mg/kg (2-3 mg in most adults)

Beta-agonist Inhaler – 2 puffs (180 mcg)

Can be repeated up to 3 times

Management of Contrast Extravasation