Minor Allergic Reaction Medical Directive
A Primary Care Paramedic or an Advanced Care Paramedic may provide the treatment prescribed in this Medical Directive if authorized.
Indications
Signs consistent with minor allergic reaction;
AND
Special event: a preplanned gathering with potentially large numbers of people and the Special Event Medical Directives have been preauthorized for use by the Medical Director.
Conditions
Diphenhydramine |
Age |
≥18 years |
LOA |
Unaltered |
HR |
WNL |
RR |
WNL |
SBP |
Normotension |
Other |
N/A |
Contraindications
Diphenhydramine |
Allergy or sensitivity to diphenhydramine |
Antihistamine or sedative use in previous 4 hours |
Signs or symptoms of moderate to severe allergic reaction |
Signs or symptoms of intoxication |
Wheezing |
Treatment
Consider topical antibiotic |
|
Route |
PO |
Dose |
50 mg |
Max. single dose |
50 mg |
Dosing interval |
N/A |
Max. # of doses |
1 |
Consider release from care |
Clinical Considerations
Advise patient that if the problem persists or worsens that they should seek further medical attention.