Bee’s bite

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1. Amp epinephrine 0.3-0.5mg repeat q10min (0.01mg/kg from 1mg/1ml in children)

2. Amp hydrocortisone 200mg IV q2-6h (2.5mg/kg/q6h)

3. Amp celmastine 1.34 or 2.68mg bid or tid

4. Tab chlorpheniramine 4mg immediate release q4-6h or 12mg ER q12h (max 24mg/day)

5. Spray salbutamol 4 puff and repeat it PRN

6. If LOW BP or Bradycardia:

    1. Amp atropine 0.5 mg IV q5min (0.01-0.02 mg/kg, max 0.04 mg/kg)