Pediatric Community

Hello All,

There has been a request from my bedside staff to investigate the use of a nurse-initiated protocol for an allergic reaction.

This would be used for kids who present with a rash, or itching WITHOUT any signs of respiratory distress, the initial request was for diphenhydramine but I believe that cetirizine is the current preferred drug.

Does anyone have something like this they would be willing to share?

Thanks!
Liz

Hi,

We have discussed creating a nurse initiated protocol for anaphylaxis at our organization but we have not moved forward with it. However, we are currently revising the provider order set for allergic reaction and are considering adding cetirizine,but not yet removing diphenhydramine. Sorry this may not be super helpful, but wanted to share the discussions we are having regarding this subject as well. 

Hello All,

There has been a request from my bedside staff to investigate the use of a nurse-initiated protocol for an allergic reaction.

This would be used for kids who present with a rash, or itching WITHOUT any signs of respiratory distress, the initial request was for diphenhydramine but I believe that cetirizine is the current preferred drug.

Does anyone have something like this they would be willing to share?

Thanks!
Liz

Hello All,

There has been a request from my bedside staff to investigate the use of a nurse-initiated protocol for an allergic reaction.

This would be used for kids who present with a rash, or itching WITHOUT any signs of respiratory distress, the initial request was for diphenhydramine but I believe that cetirizine is the current preferred drug.

Does anyone have something like this they would be willing to share?

Thanks!
Liz

Hi, 

We just updated our nursing treatment protocols regarding this and removed Benadryl and changed it to Zyrtec (Citrizine). This applies for urticaria/insect bites. For signs of anaphylaxis, the provider has to be contacted for the Epi order. 

We do Cetirizine (Zyrtec): 
• 6 mo to 2 yo – 2.5 mg
• 2 yo to 10 yo – 5 mg
• > 10 yo – 10 mg

Hello All,

There has been a request from my bedside staff to investigate the use of a nurse-initiated protocol for an allergic reaction.

This would be used for kids who present with a rash, or itching WITHOUT any signs of respiratory distress, the initial request was for diphenhydramine but I believe that cetirizine is the current preferred drug.

Does anyone have something like this they would be willing to share?

Thanks!
Liz