Treatment of anaphylaxis during pregnancy. This involves prompt intramuscular injection of 0.3 mg (0.3 mL) of epinephrine using a 1 mg/mL (1:1000) dilution; high-flow supplemental oxygen; the mother positioned on her left side to improve venous return to the heart; maintenance of a minimum systolic blood pressure of 90 mmHg for adequate placental perfusion; continuous electronic monitoring; cardiopulmonary resuscitation when indicated; and emergency cesarean delivery when indicated.
Reproduced from: Simons FER, Schatz M. Anaphylaxis during pregnancy. J Allergy Clin Immunol 2012; 130:597. Illustration used with the permission of Elsevier Inc. All rights reserved.
