Table 8.
Substance | Administration | <7.5 kg BW | 7.5–25 (–30)d kg BW | 30–60 kg BW | >60 kg BW |
---|---|---|---|---|---|
Adrenaline | Intramuscular | 50–600 μg | |||
Adrenaline | Auto-injector i.m. | Not approved | 150 µg | 300 µg | 1–2 × 300 µg or 500 µg |
Adrenaline | Inhalation nebulizer | 2–5 mlb | |||
Adrenaline | Intravenousa | Titrating bolus doses 1 μg/kg BW | |||
Dimetindene | Intravenous | 1 mlc |
1 ml/10 kg BWc (max. 4 ml) |
1 Amp = 4 mlc |
1–2 Amp = 4–8 mlc (1 ml/10 kg BW) |
Prednisolone | Intravenous | 50 mg | 100 mg | 250 mg | 500–1000 mg |
Salbutamol Terbutaline |
Inhaled | 2 Puffs via spacer | 2 Puffs via spacer | 2–4 Puffs via spacer | 2–4 Puffs via spacer |
Volume | Bolus (NaCl 0.9%) | 20 ml/kg BW | 20 ml/kg BW | 10–20 ml/kg BW | 10–20 ml/kg BW |
Oxygen | Inhaled | 2–10 l/min | 5–12 l/min | 5–12 l/min | 5–12 l/min |
AMP ampoule, BW body weight
aFor intravenous administration, a 1-mg/ml adrenaline solution is diluted in 100 ml NaCl 0.9% (final concentration, 10 mg/ml)
bFor inhalation, the original concentration of the commercial solution is used (1 mg/ml)
cAn original concentration of 1 mg/ml (1 ml contains 1 mg dimetindene maleate)
dVarious weight-dependent approvals for different auto-injectors