Page 190 - ATP-P 11th Ed

4. IV normal saline TKO (saline lock)
a. Administer 1–2L normal saline bolus for hypotension;
b. Titrate to establish systolic blood pressure >90mmHg or palpable radial pulse if BP
cuff not available.
5. Diphenhydramine (Benadryl ) 50mg IV/IM/PO/SL
®
6. Dexamethasone (Decadron ) 10mg IV/IM/PO
®
7. lin ), 2–3 puffs q5min, repeat up to 3 times. The metered dose inhaler works best when
If wheezing is present after epinephrine administration, consider albuterol (Vento-
®
SECTION 2 8. used with a spacer (e.g., rolled up piece of paper, cardboard from toilet paper roll, etc.).
Ranitidine (Zantac ) 150mg PO bid
®

Disposition
Urgent evacuation

180 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 181