H1 antihistamine: Consider giving diphenhydramine 1 mg/kg (max 50 mg IV, over 5 minutes) or cetirizine (children aged 6 months to 5 years can receive 2.5 mg IV, those 6 to 11 years of age can receive 5 or 10 mg IV, over 2 minutes).
H2 antihistamine: Consider giving famotidine 0.25 mg/kg (max 20 mg) IV, over at least 2 minutes.
Glucocorticoid: Consider giving methylprednisolone 1 mg/kg (max 125 mg) IV.
Nəzarət: Davamlı hemodinamik monitorinq və puls-oksimetriya. V/d maye qəbul edən pasiyentlərdə sidik ifrazına nəzarət edilməlidir.
Treatment of refractory symptoms:
Epinephrine infusion¶: In patients with inadequate response to IM epinephrine and IV saline, give epinephrine continuous infusion at 0.1 to 1 mcg/kg/minute, titrated to effect.