DIAGNOSIS OF ANAPHYLAXIS*

Fulfil 1 of 3 criteria

1-Acute onset with involvement of skin/ mucous membrane

AND one of below

• a-Respiratory symptom( wheeze/ stridor)
• b-End organ dysfunction( Hypotension/ syncope)

2- Two or more of following

• a- Involvement of skin/ mucous membrane
• b-Respiratory dysfunction
• c-Gastrointestinal symptoms
• d-End organ dysfunction

3- Reduced BP

• Infants < systolic BP or 30% drop in systolic BP
• Adults- systolic BP < 90 mm Hg or > 30% drop from baseline

*J Allergy Clin Immunol 117: 391

At discharge

Discharge with EPIPEN (>30 kg) and Epi-Pen Junior (<30kg) with specific instructions