Diphenhydramine
Ethanolamine derivitive and H-1 receptor antagonist which acts on blood vessels, GI and respiratory systems by competeing with histamine for h-1 receptor site.  Decreases allergic response by blockade of histamine.
Indications:
Allergic Reaction/Anaphylaxis
Common Side Effects: 
Dizziness, drowsiness, urinary retention.
Potentially Lethal Side Effects:
Seizure, Thrombocytopenia, agranulocytosis, hemolytic anemia, anaphylaxis.
Contraindications:
Hypersensitivity to H-1 receptor antagonists, acute asthma attack, lower repiratory tract disease.
Adult dosing*:
Mild to Moderate Allergic Reaction:
IV/IM:  25mg

Severe Allergic Reaction/Anaphylaxis:
IV/IM:  50mg
Pediatric dosing:
Allergic Reaction/Anaphylaxis
IV/IM:  1mg/kg slow push, prn Max 50mg
Notes:
-   Expect a low BP to be present with anaphylaxis and severe allergic reaction.  If BP not decreased, then another cause is likely.

-  IM onset may take up to 0.5 hour, IV onset immediate.  Both have duration of 4-7 hours.

-  In lower airway conditions with increased secretions, diphenhydramine may cause thickening of secretions, thus complicating pre-existing condition.  Decreased level of consciousness may cause compromise of a protected airway.
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