Abstract
Children with a food allergy run a high risk of anaphylaxis (up to 30 %). The probability of a fatal development is higher if the anaphylaxis starts with an allergy to peanuts, hazel or walnuts, if the patient has a non-controlled asthma bronchiale, and if adrenalin is either not administered or is given too late.
The medicine of first choice, adrenalin, must be given intramuscularly in a dose of 10?g per 1kg of body mass (the single maximal dose is 500?g). The straightforward indication is shortness of breath or hypotension.
Only as the second means are antihistaminic drugs is applied into another site of muscle, followed by glococorticoid. The child must always be transferred to an ICU accompanied by the doctor, even in case the anaphylaxis is under control.
Every child must be provided with an autoshock packet containing adrenalin in autoinjector, antihistaminic, glucocorticoid, salbutamol and instructions on how to use them.