Medical Management Kit

Study specific Medical management kit template:

Allergic-rescue medications

  • Diphenylhydramine (12.5mg/5ml, or 25mg/capsule)
  • Dose
  • Epi-Pen (1:1000 epinephrine - single use)
  • Dose
  • Prednisolone syrup (15mg/5 ml)
  • Dose
  • Prednisone tablets (20mg)
  • Dose

Analgesics/antipyretics

  • Acetaminophen (syrup 100mg/5ml, or tablets 325 mg)
  • Dose:
  • Ibuprofen (syrup 100 mg/5ml or tablets 200 mg)
  • Dose

Bronchodilators/respiratory medications

  • Albuterol for nebulization (2.5mg/2.5ml)
  • Dose
  • Racemic epinephrine for nebulization
  • Dose

Other

  • Medication: _________________________________
  • Dose _________________________________
  • Medication: _________________________________
  • Dose   _________________________________