Algorithm reproduced with the kind permission of the Resuscitation Council (UK).
The algorithm for refractory anaphylaxis can be found on the Resuscitation Council’s website or on the emergency drug trolley.
Anaphylaxis can be precipitated by a broad range of triggers which can include medicines, food, radio-opaque dyes and venom. On admission, known allergies must be clearly documented on the Hospital Electronic Prescribing and Medicines Administration (HEPMA) system/prescription chart and in the medical notes. Any new allergies identified must be documented and communicated to the patient and the patient’s GP. If a drug is the trigger then also complete a ‘Yellow card’ adverse drug reaction form. Forms can be found in the BNF or at www.yccscotland.scot.nhs.uk/.
Follow the NICE Guideline "Anaphylaxis: assessment and referral after emergency treatment" available here, specifically:
Guideline reviewed | October 2021 |
Page updated | May 2022 |