Table 1.

Suggested basic equipment for anaphylaxis kit^a

Medication
First‐line medication
1:1000 (1 mg/ml) IM epinephrine (enough for ≥4 doses of 0·3–0·5 ml)
Second‐line medication
ß2‐adrenergic agonist given by nebulizer and face mask (e.g. salbutamol solution 2·5 mg/3 ml or 5 mg/3 ml) Glucocorticoid for IV infusion (e.g. hydrocortisone 200 mg or methylprednisolone 50–100 mg) H1‐antihistamine for IV infusion (e.g. chlorpheniramine 10 mg or diphenhydramine 25–50 mg) H2‐antihistamine for IV infusion (e.g. ranitidine 50 mg)
Equipment and supplies
22‐gauge needle and syringe (volume of epinephrine to be administered 0·3–0·5 ml)b Anaphylaxis protocol (refer to institutional protocol and or WAO guidelines) Supplemental oxygen Nebulizer Disposable face masks Ambu bag/valve/mask, self‐inflating with reservoir Supplies for giving large volumes of IV fluid rapidly (e.g. saline, tubing) Nasal prongs

IM, intramuscular; IV, intravenous; WAO, World Allergy Organization.

^aAdapted from WAO anaphylaxis guidelines 18.

^bNote: uni‐dose epinephrine auto‐injectors may be included instead of IM epinephrine and a 22‐gauge needle; IM epinephrine should not be given intravenously.