Emergency

Wasp / Bee Sting

Injectable antihistamine and NSAID, then oral NSAID, antihistamine and Danzen DS. Anaphylaxis (tachycardia, hypotension, wheeze) needs intramuscular adrenaline.

ICD-10: —
Source: OPD handbook p.178
Status: Draft

Not yet reviewed by a clinician. Check doses and brands against current national guidelines before use.

Symptoms

Sting

Red flags Refer urgently if any are present

Anaphylaxis shock: tachycardia, hypotension, wheeze

Diagnosis

Look for signs of anaphylaxis

Treatment

Step 1 of 3

1. Immediate

Injection Avil IM/IV stat
Injection Toradol IM stat

Prescription

Chlorpheniramine injectionAntihistamine (anaphylaxis cover)

DoseIM/IV stat

Brand Inj Avil

Ketorolac injectionNSAID injection

DoseIM stat

Brand Inj Toradol

Step 2 of 3

2. Discharge

Voren / Diclo
Avil at bedtime
Danzen DS

Prescription

Diclofenac sodiumNSAID

DoseOral

Brand Voren / Diclo

Also sold as Voren, Diclo, Dicloran

Chlorpheniramine injectionAntihistamine (anaphylaxis cover)

DoseAt bedtime

Brand Avil (oral form at bedtime)

SerratiopeptidaseProteolytic enzyme (anti-inflammatory)

DoseAs per book

Brand Danzen DS

Step 3 of 3

3. Anaphylaxis

Injection adrenaline 0.5 IM; adrenaline must be given intramuscularly

Prescription

Adrenaline (epinephrine) injectionEmergency drug (anaphylaxis)

Dose0.5 IM (intramuscular)

Brands Generic / hospital supply