Fly Bites and Anaphylaxis

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1. Children with good condition

    1. Syrup hydroxyzine 5cc bid #1

    2. oint betamethasone 0.1% bid #1

2. Anaphylactic shock

    1. adults

        1. Amp epinephrine 1:1000 0.3-0.5cc SQ or IM repeat every 5 min

        2. Amp methylprednisolone 250 mg IV stat

        3. Tab prednisolone 20 mg #25 2tab/day first week, 1tab/day in 2nd week, 1/2tab/day in 3rd week

        4. Tab cetirizine 10 mg bid #30

    2. Children

        1. Amp epinephrine 1:1000 0.01cc/kg SQ or IM repeat every 5min

        2. Amp methylprednisolone 250 mg IV stat

        3. Tab prednisolone 20 mg #25 2tab/day first week, 1tab/day in 2nd week, 1/2tab/day in 3rd week

        4. Tab cetirizine 10 mg bid #30