{"id":10797,"date":"2026-03-26T09:23:43","date_gmt":"2026-03-26T09:23:43","guid":{"rendered":"https:\/\/kindernotfallzentrum-bonn.de\/?page_id=10797"},"modified":"2026-03-26T11:44:52","modified_gmt":"2026-03-26T11:44:52","slug":"anaphylaxie","status":"publish","type":"page","link":"https:\/\/kindernotfallzentrum-bonn.de\/?page_id=10797","title":{"rendered":"ANAPHYLAXIE"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"10797\" class=\"elementor elementor-10797\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3a1c2c2 pbmit-col-stretched-none pbmit-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3a1c2c2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-73d7e48 pbmit-bg-color-over-image\" data-id=\"73d7e48\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-312d052 elementor-widget elementor-widget-html\" data-id=\"312d052\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\r\n.warnhinweis-container {\r\n  background: linear-gradient(135deg, #fff7ed 0%, #fffbeb 100%);\r\n  border-bottom: 3px solid #f59e0b;\r\n  box-shadow: 0 4px 14px rgba(0, 0, 0, 0.08);\r\n  padding: 18px 20px;\r\n  font-family: Arial, sans-serif;\r\n}\r\n\r\n.warnhinweis-box {\r\n  max-width: 1200px;\r\n  margin: 0 auto;\r\n}\r\n\r\n.warnhinweis-title {\r\n  font-size: 20px;\r\n  font-weight: 700;\r\n  color: #b45309;\r\n  margin-bottom: 12px;\r\n  line-height: 1.3;\r\n}\r\n\r\n.warnhinweis-text {\r\n  font-size: 14px;\r\n  line-height: 1.7;\r\n  color: #444;\r\n}\r\n\r\n.warnhinweis-text p {\r\n  margin: 0 0 12px 0;\r\n}\r\n\r\n.warnhinweis-text p:last-child {\r\n  margin-bottom: 0;\r\n}\r\n\r\n.warnhinweis-text strong {\r\n  color: #92400e;\r\n  font-weight: 700;\r\n}\r\n\r\n@media (max-width: 768px) {\r\n  .warnhinweis-container {\r\n    padding: 16px 14px;\r\n  }\r\n\r\n  .warnhinweis-title {\r\n    font-size: 18px;\r\n  }\r\n\r\n  .warnhinweis-text {\r\n    font-size: 13px;\r\n    line-height: 1.6;\r\n  }\r\n}\r\n<\/style>\r\n\r\n<div class=\"warnhinweis-container\">\r\n  <div class=\"warnhinweis-box\">\r\n    <div class=\"warnhinweis-title\">\u26a0\ufe0f Wichtiger medizinischer Hinweis<\/div>\r\n\r\n    <div class=\"warnhinweis-text\">\r\n      <p>\r\n        Dieser Anaphlxie-Rechner f\u00fcr Kinder wurde f\u00fcr den Einsatz in\r\n        <strong>Notaufnahmen<\/strong> entwickelt, in denen <strong>Kinder behandelt<\/strong>\r\n        werden. Die verwendeten <strong>Algorithmen und Dosierungen<\/strong> k\u00f6nnen von den\r\n        <strong>lokalen Standards und Behandlungsprotokollen<\/strong> Ihrer Einrichtung\r\n        abweichen. Die <strong>Eignung f\u00fcr den jeweiligen klinischen Einsatz<\/strong> muss\r\n        daher <strong>vor der Anwendung<\/strong> \u00fcberpr\u00fcft werden.\r\n      <\/p>\r\n\r\n      <p>\r\n        Obwohl bei der Entwicklung dieses Programms mit <strong>gr\u00f6\u00dfter Sorgfalt<\/strong>\r\n        vorgegangen wurde, kann <strong>keine Gew\u00e4hr f\u00fcr die vollst\u00e4ndige Fehlerfreiheit\r\n        der Berechnungen<\/strong> \u00fcbernommen werden. <strong>Alle berechneten Werte m\u00fcssen\r\n        vor der Anwendung \u00fcberpr\u00fcft werden.<\/strong> Die <strong>Verantwortung f\u00fcr die\r\n        Nutzung der angegebenen Werte liegt jederzeit beim Anwender.<\/strong>\r\n      <\/p>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-829a963 pbmit-col-stretched-none pbmit-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"829a963\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-26bdebd pbmit-bg-color-over-image\" data-id=\"26bdebd\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea1e52f elementor-widget elementor-widget-html\" data-id=\"ea1e52f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"abb3-flow-wrap\">\r\n  <button class=\"abb3-main-toggle\" type=\"button\" onclick=\"toggleAbb3Main(this)\">\r\n    <span>Anaphylaxie \u2013 Akutma\u00dfnahmen je nach Hauptsymptomatik<\/span>\r\n    <span class=\"abb3-main-icon\">+<\/span>\r\n  <\/button>\r\n\r\n  <div class=\"abb3-main-content\">\r\n\r\n    <div class=\"abb3-overview\">\r\n      <div class=\"abb3-chip red\">Anaphylaxie<\/div>\r\n      <div class=\"abb3-arrow\">\u2193<\/div>\r\n      <div class=\"abb3-chip blue\">Allergenzufuhr stoppen<\/div>\r\n      <div class=\"abb3-chip blue\">Hilfe anfordern<\/div>\r\n      <div class=\"abb3-chip blue\">Basisuntersuchung<\/div>\r\n      <div class=\"abb3-chip orange\">Grad der Bedrohlichkeit und Leitsymptom identifizieren<\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Sofortma\u00dfnahmen \/ gemeinsamer Startpunkt<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-card-grid\">\r\n          <div class=\"abb3-card neutral\">\r\n            <h3>1. Anaphylaxie erkennen<\/h3>\r\n            <ul>\r\n              <li>Akute Reaktion nach m\u00f6glichem Allergenkontakt<\/li>\r\n              <li>Schweregrad einsch\u00e4tzen<\/li>\r\n              <li>F\u00fchrendes Leitsymptom bestimmen<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n\r\n          <div class=\"abb3-card neutral\">\r\n            <h3>2. Sofort tun<\/h3>\r\n            <ul>\r\n              <li>Allergenzufuhr stoppen<\/li>\r\n              <li>Hilfe anfordern<\/li>\r\n              <li>Basisuntersuchung durchf\u00fchren<\/li>\r\n              <li>Symptomorientierte Lagerung<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n\r\n          <div class=\"abb3-card neutral\">\r\n            <h3>3. Danach weiter<\/h3>\r\n            <ul>\r\n              <li>Grad IV \u2192 Reanimationspfad<\/li>\r\n              <li>Grad II\/III \u2192 nach Hauptsymptom verzweigen<\/li>\r\n              <li>Grad I \u2192 kutaner Verlaufspfad<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle critical\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Grad IV \u2013 Herz-Kreislaufstillstand<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-path\">\r\n          <div class=\"abb3-step danger\">\r\n            <h3>Leitsituation<\/h3>\r\n            <p>Herz-Kreislaufstillstand<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step action\">\r\n            <h3>Akutma\u00dfnahmen<\/h3>\r\n            <ul>\r\n              <li>Kardiopulmonale Reanimation<\/li>\r\n              <li>Automatischer Defibrillator<\/li>\r\n              <li>Zugang i.v. \/ i. oss\u00e4r<\/li>\r\n              <li>Adrenalin i.v. \/ i. oss\u00e4r<\/li>\r\n              <li>Atemwegssicherung<\/li>\r\n              <li>Sauerstoff inhalativ<\/li>\r\n              <li>Forcierte Volumensubstitution i.v. \/ i. oss\u00e4r<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step review\">\r\n            <h3>Re-Evaluation<\/h3>\r\n            <p>Nach Stabilisierung erneut Leitsymptom pr\u00fcfen und weitere Symptomatik identifizieren.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle shock\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Grad II\/III \u2013 Hypotension, Schock, Bewusstlosigkeit<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-path\">\r\n          <div class=\"abb3-step symptom\">\r\n            <h3>Leitsymptom<\/h3>\r\n            <p>Hypotension, Schock oder Bewusstlosigkeit<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step action\">\r\n            <h3>Initiale Ma\u00dfnahmen<\/h3>\r\n            <ul>\r\n              <li>Symptomorientierte Lagerung<\/li>\r\n              <li>Adrenalin i.m.<\/li>\r\n              <li>Sauerstoff inhalativ<\/li>\r\n              <li>Zugang i.v.<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step support\">\r\n            <h3>Begleittherapie<\/h3>\r\n            <ul>\r\n              <li>Dimetinden i.v.<\/li>\r\n              <li>Kortikosteroid i.v.<\/li>\r\n              <li>Basisuntersuchung<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"abb3-decision-grid\">\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn Besserung<\/h4>\r\n            <p>\u00dcberwachung und erneute Pr\u00fcfung, ob ein anderes f\u00fchrendes Leitsymptom vorliegt.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box critical\">\r\n            <h4>Wenn persistierender Schock \/ Bewusstlosigkeit<\/h4>\r\n            <ul>\r\n              <li>Therapieeskalation<\/li>\r\n              <li>Adrenalin i.v. \/ i. oss\u00e4r oder erneut i.m.<\/li>\r\n              <li>Gegebenenfalls andere Katecholamine i.v. \/ i. oss\u00e4r<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn anderes Leitsymptom f\u00fchrend wird<\/h4>\r\n            <p>Zum passenden Pfad wechseln und fehlende Ma\u00dfnahmen erg\u00e4nzen.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle airway\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Grad II\/III \u2013 Dysphonie, Uvulaschwellung, inspiratorischer Stridor<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-path\">\r\n          <div class=\"abb3-step symptom\">\r\n            <h3>Leitsymptom<\/h3>\r\n            <p>Obere Atemwegsobstruktion mit Dysphonie, Uvulaschwellung oder Stridor<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step action\">\r\n            <h3>Initiale Ma\u00dfnahmen<\/h3>\r\n            <ul>\r\n              <li>Symptomorientierte Lagerung<\/li>\r\n              <li>Adrenalin i.m.<\/li>\r\n              <li>Sauerstoff inhalativ<\/li>\r\n              <li>Adrenalin inhalativ<\/li>\r\n              <li>Zugang i.v.<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step support\">\r\n            <h3>Begleittherapie<\/h3>\r\n            <ul>\r\n              <li>Dimetinden i.v.<\/li>\r\n              <li>Kortikosteroid i.v.<\/li>\r\n              <li>Basisuntersuchung<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"abb3-decision-grid\">\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn Besserung<\/h4>\r\n            <p>\u00dcberwachung und wiederholte Pr\u00fcfung, ob weitere f\u00fchrende Symptome bestehen.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box critical\">\r\n            <h4>Wenn persistierendes Larynx\u00f6dem<\/h4>\r\n            <ul>\r\n              <li>Therapieeskalation<\/li>\r\n              <li>Gegebenenfalls Koniotomie<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn Kreislaufsymptomatik dominiert<\/h4>\r\n            <p>Zus\u00e4tzlich in den Hypotension-\/Schock-Pfad wechseln.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle breathing\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Grad II\/III \u2013 Dyspnoe, bronchiale Obstruktion<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-path\">\r\n          <div class=\"abb3-step symptom\">\r\n            <h3>Leitsymptom<\/h3>\r\n            <p>Dyspnoe oder bronchiale Obstruktion<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step action\">\r\n            <h3>Initiale Ma\u00dfnahmen<\/h3>\r\n            <ul>\r\n              <li>Symptomorientierte Lagerung<\/li>\r\n              <li>Adrenalin i.m.<\/li>\r\n              <li>Sauerstoff inhalativ<\/li>\r\n              <li>\u03b22-Sympathomimetikum inhalativ<\/li>\r\n              <li>Zugang i.v.<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step support\">\r\n            <h3>Begleittherapie<\/h3>\r\n            <ul>\r\n              <li>Dimetinden i.v.<\/li>\r\n              <li>Kortikosteroid i.v.<\/li>\r\n              <li>Basisuntersuchung<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"abb3-decision-grid\">\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn Besserung<\/h4>\r\n            <p>\u00dcberwachung und erneute Pr\u00fcfung auf andere f\u00fchrende Symptome.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box critical\">\r\n            <h4>Wenn persistierende bronchiale Obstruktion<\/h4>\r\n            <ul>\r\n              <li>Therapieeskalation<\/li>\r\n              <li>Adrenalin i.m.\/i.v.<\/li>\r\n              <li>\u03b22-Sympathomimetika s.c.\/i.v.<\/li>\r\n              <li>Gegebenenfalls Atemwegssicherung mit Narkose<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn Stridor zus\u00e4tzlich dominiert<\/h4>\r\n            <p>Zus\u00e4tzlich in den oberen Atemwegs-Pfad wechseln.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle gi\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Grad II\/III \u2013 \u00dcbelkeit, Koliken, Erbrechen<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-path\">\r\n          <div class=\"abb3-step symptom\">\r\n            <h3>Leitsymptom<\/h3>\r\n            <p>\u00dcbelkeit, Koliken oder Erbrechen<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step action\">\r\n            <h3>Initiale Ma\u00dfnahmen<\/h3>\r\n            <ul>\r\n              <li>Symptomorientierte Lagerung<\/li>\r\n              <li>Zugang i.v.<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step support\">\r\n            <h3>Begleittherapie<\/h3>\r\n            <ul>\r\n              <li>Dimetinden i.v.<\/li>\r\n              <li>Kortikosteroid i.v.<\/li>\r\n              <li>Basisuntersuchung<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"abb3-decision-grid\">\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn Besserung<\/h4>\r\n            <p>\u00dcberwachung und Pr\u00fcfung auf zus\u00e4tzliche respiratorische oder kardiovaskul\u00e4re Symptomatik.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box critical\">\r\n            <h4>Wenn persistierend<\/h4>\r\n            <ul>\r\n              <li>Therapieeskalation<\/li>\r\n              <li>Gegebenenfalls Nauseatika \/ Spasmolytika i.v.<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn andere Symptomatik f\u00fchrend wird<\/h4>\r\n            <p>Zum entsprechenden Pfad wechseln und fehlende Ma\u00dfnahmen erg\u00e4nzen.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle skin\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Grad I \u2013 Pruritus, Flush, Urtikaria, Angio\u00f6deme<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-path\">\r\n          <div class=\"abb3-step symptom\">\r\n            <h3>Leitsymptom<\/h3>\r\n            <p>Kutane Symptomatik ohne dominierende respiratorische oder kardiovaskul\u00e4re Gef\u00e4hrdung<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step action\">\r\n            <h3>Initiale Ma\u00dfnahmen<\/h3>\r\n            <ul>\r\n              <li>Zugang i.v. nach Bedarf<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-path-arrow\">\u2192<\/div>\r\n          <div class=\"abb3-step support\">\r\n            <h3>Begleittherapie<\/h3>\r\n            <ul>\r\n              <li>Dimetinden i.v.<\/li>\r\n              <li>Kortikosteroid i.v.<\/li>\r\n              <li>Basisuntersuchung<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"abb3-decision-grid abb3-decision-grid-2\">\r\n          <div class=\"abb3-decision-box\">\r\n            <h4>Wenn r\u00fcckl\u00e4ufig<\/h4>\r\n            <p>Keine Eskalation, weiter \u00fcberwachen.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-decision-box critical\">\r\n            <h4>Wenn Progression<\/h4>\r\n            <p>Neues Leitsymptom bestimmen und in den passenden Grad-II\/III- oder Grad-IV-Pfad wechseln.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle supplement\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Therapieerg\u00e4nzung \u2013 anderes f\u00fchrendes Leitsymptom<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-card-grid\">\r\n          <div class=\"abb3-card supplement\">\r\n            <h3>Wann?<\/h3>\r\n            <p>Wenn nach Beginn der Initialtherapie eine andere Symptomatik f\u00fchrend wird oder zus\u00e4tzlich deutlich hervortritt.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-card supplement\">\r\n            <h3>Dann<\/h3>\r\n            <p>Zutreffendes Leitsymptom der initialen Therapieebene w\u00e4hlen.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-card supplement\">\r\n            <h3>Erg\u00e4nzen<\/h3>\r\n            <p>Spezifische, bislang nicht durchgef\u00fchrte Ma\u00dfnahmen hinzuf\u00fcgen.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle escalation\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>Therapieeskalation \u2013 \u00dcbersicht<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-card-grid abb3-card-grid-5\">\r\n          <div class=\"abb3-card escalation\">\r\n            <h3>Persistierender Schock \/ Bewusstlosigkeit<\/h3>\r\n            <ul>\r\n              <li>Adrenalin i.v. \/ i. oss\u00e4r oder i.m.<\/li>\r\n              <li>Gegebenenfalls andere Katecholamine i.v. \/ i. oss\u00e4r<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n\r\n          <div class=\"abb3-card escalation\">\r\n            <h3>Persistierendes Larynx\u00f6dem<\/h3>\r\n            <ul>\r\n              <li>Gegebenenfalls Koniotomie<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n\r\n          <div class=\"abb3-card escalation\">\r\n            <h3>Persistierende bronchiale Obstruktion<\/h3>\r\n            <ul>\r\n              <li>Adrenalin i.m.\/i.v.<\/li>\r\n              <li>\u03b22-Sympathomimetika s.c.\/i.v.<\/li>\r\n              <li>Gegebenenfalls Atemwegssicherung mit Narkose<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n\r\n          <div class=\"abb3-card escalation\">\r\n            <h3>Persistierende GI-Symptome<\/h3>\r\n            <ul>\r\n              <li>Gegebenenfalls Nauseatika \/ Spasmolytika i.v.<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n\r\n          <div class=\"abb3-card stable\">\r\n            <h3>Gleiche r\u00fcckl\u00e4ufige Symptomatik<\/h3>\r\n            <p>Keine Eskalation<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n    <div class=\"abb3-section\">\r\n      <button class=\"abb3-section-toggle discharge\" type=\"button\" onclick=\"toggleAbb3Section(this)\">\r\n        <span>\u00dcberwachung \/ Entlassung<\/span>\r\n        <span class=\"abb3-section-icon\">+<\/span>\r\n      <\/button>\r\n      <div class=\"abb3-section-content\">\r\n        <div class=\"abb3-card-grid\">\r\n          <div class=\"abb3-card monitor\">\r\n            <h3>\u00dcberwachung<\/h3>\r\n            <p>Nach Stabilisierung weiter \u00fcberwachen und erneut auf f\u00fchrende Symptomatik pr\u00fcfen.<\/p>\r\n          <\/div>\r\n          <div class=\"abb3-card monitor\">\r\n            <h3>Vor Entlassung<\/h3>\r\n            <ul>\r\n              <li>Rezept Notfallset zur Soforthilfe<\/li>\r\n              <li>Demonstration Adrenalin-Autoinjektor<\/li>\r\n              <li>Allergologische Abkl\u00e4rung und Beratung veranlassen<\/li>\r\n            <\/ul>\r\n          <\/div>\r\n          <div class=\"abb3-card discharge\">\r\n            <h3>Entlassung<\/h3>\r\n            <p>Nach klinischer Stabilisierung und organisierter Weiterbetreuung.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n\r\n  <\/div>\r\n<\/div>\r\n\r\n<style>\r\n  .abb3-flow-wrap{\r\n    max-width:1200px;\r\n    margin:24px auto;\r\n    font-family:Arial, Helvetica, sans-serif;\r\n    color:#1f2937;\r\n  }\r\n\r\n  .abb3-main-toggle{\r\n    width:100%;\r\n    display:flex;\r\n    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grid-template-columns:repeat(3,1fr);\r\n    gap:14px;\r\n  }\r\n\r\n  .abb3-decision-grid-2{\r\n    grid-template-columns:repeat(2,1fr);\r\n  }\r\n\r\n  .abb3-card-grid-5{\r\n    grid-template-columns:repeat(5,1fr);\r\n  }\r\n\r\n  .abb3-decision-box,\r\n  .abb3-card{\r\n    border-radius:16px;\r\n    padding:16px;\r\n    box-shadow:0 6px 18px rgba(0,0,0,0.06);\r\n    background:#fff;\r\n    color:#1f2937 !important;\r\n  }\r\n\r\n  .abb3-decision-box h3,\r\n  .abb3-decision-box h4,\r\n  .abb3-card h3,\r\n  .abb3-card h4{\r\n    margin:0 0 10px 0;\r\n    color:#0f172a !important;\r\n  }\r\n\r\n  .abb3-card h3{\r\n    font-size:16px !important;\r\n    font-weight:600;\r\n  }\r\n\r\n  .abb3-decision-box h4{\r\n    font-size:15px !important;\r\n    font-weight:600;\r\n  }\r\n\r\n  .abb3-decision-box p,\r\n  .abb3-decision-box li,\r\n  .abb3-card p,\r\n  .abb3-card li{\r\n    font-size:14px;\r\n    line-height:1.5;\r\n  }\r\n\r\n  .abb3-decision-box ul,\r\n  .abb3-card ul{\r\n    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.abb3-section-toggle{\r\n      font-size:15px !important;\r\n      padding:14px 14px;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<script>\r\n  function toggleAbb3Main(button){\r\n    const content = button.nextElementSibling;\r\n    const icon = button.querySelector('.abb3-main-icon');\r\n\r\n    if (!content) return;\r\n\r\n    content.classList.toggle('open');\r\n    icon.textContent = content.classList.contains('open') ? '\u2212' : '+';\r\n  }\r\n\r\n  function toggleAbb3Section(button){\r\n    const content = button.nextElementSibling;\r\n    const icon = button.querySelector('.abb3-section-icon');\r\n\r\n    if (!content) return;\r\n\r\n    content.classList.toggle('open');\r\n    icon.textContent = content.classList.contains('open') ? '\u2212' : '+';\r\n  }\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6213188 pbmit-col-stretched-none pbmit-bg-color-over-image elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6213188\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a7ba758 pbmit-bg-color-over-image\" data-id=\"a7ba758\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-712deb8 elementor-widget elementor-widget-html\" data-id=\"712deb8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ana-page\">\r\n  <div class=\"ana-hero\">\r\n    <h1>Anaphylaxie-Rechner f\u00fcr Kinder<\/h1>\r\n    <p class=\"ana-subtitle\">Gewichtsbasierte Notfallhilfe f\u00fcr die initiale Akuttherapie<\/p>\r\n  <\/div>\r\n\r\n  <div class=\"ana-alert ana-alert-danger\">\r\n    <strong>Wichtiger Hinweis:<\/strong> Hautsymptome k\u00f6nnen bei schwerer Anaphylaxie fehlen.\r\n    <strong>Adrenalin i.m. ist die Therapie der ersten Wahl<\/strong> bei respiratorischen und\/oder kardiovaskul\u00e4ren Symptomen.\r\n  <\/div>\r\n\r\n  <div class=\"ana-alert ana-alert-warning\">\r\n    <strong>Warnung:<\/strong> Intraven\u00f6ses Adrenalin nur in Ausnahmef\u00e4llen, verd\u00fcnnt und durch erfahrenes Personal.\r\n    Prim\u00e4r Adrenalin i.m. in den anterolateralen Oberschenkel.\r\n  <\/div>\r\n\r\n  <div class=\"ana-card ana-input-card\">\r\n    <h2>Gewicht eingeben<\/h2>\r\n    <div class=\"ana-input-row\">\r\n      <label for=\"gewicht\">Gewicht (kg)<\/label>\r\n      <input type=\"number\" id=\"gewicht\" min=\"0\" step=\"0.1\" placeholder=\"z. B. 12.5\">\r\n      <button type=\"button\" onclick=\"berechnenAnaphylaxie()\">Berechnen<\/button>\r\n    <\/div>\r\n    <p class=\"ana-input-note\">\r\n      Die Ergebnisse erscheinen nach der Berechnung in \u00fcbersichtlichen Kategorien.\r\n    <\/p>\r\n  <\/div>\r\n\r\n  <div class=\"ana-card\">\r\n    <h2>Schweregrad der Anaphylaxie<\/h2>\r\n    <div class=\"severity-grid\">\r\n      <div class=\"severity-box severity-1\">\r\n        <h3>Grad I<\/h3>\r\n        <p>Juckreiz, Flush, Urtikaria, Angio\u00f6dem<\/p>\r\n      <\/div>\r\n      <div class=\"severity-box severity-2\">\r\n        <h3>Grad II<\/h3>\r\n        <p>Zus\u00e4tzlich m\u00f6glich: \u00dcbelkeit, Erbrechen, Dyspnoe, Heiserkeit, Rhinorrh\u00f6, Tachykardie, Hypotonie<\/p>\r\n      <\/div>\r\n      <div class=\"severity-box severity-3\">\r\n        <h3>Grad III<\/h3>\r\n        <p>Larynx\u00f6dem, Bronchospasmus, Zyanose, Schock<\/p>\r\n      <\/div>\r\n      <div class=\"severity-box severity-4\">\r\n        <h3>Grad IV<\/h3>\r\n        <p>Atemstillstand, Kreislaufstillstand<\/p>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <div id=\"ana-result\"><\/div>\r\n<\/div>\r\n\r\n<style>\r\n  .ana-page{\r\n    max-width:1200px;\r\n    margin:30px auto;\r\n    padding:0 16px 40px;\r\n    font-family:Arial, Helvetica, sans-serif;\r\n    color:#1f2937;\r\n  }\r\n\r\n  .ana-hero{\r\n    background:linear-gradient(135deg,#b71c1c,#d32f2f);\r\n    color:#ffffff;\r\n    padding:28px 24px;\r\n    border-radius:18px;\r\n    box-shadow:0 8px 24px rgba(0,0,0,0.12);\r\n    margin-bottom:18px;\r\n  }\r\n\r\n  .ana-hero h1{\r\n    margin:0 0 8px 0;\r\n    font-size:32px;\r\n    line-height:1.2;\r\n    color:#ffffff;\r\n  }\r\n\r\n  .ana-subtitle{\r\n    margin:0;\r\n    font-size:16px;\r\n    opacity:0.95;\r\n    color:#ffffff;\r\n  }\r\n\r\n  .ana-alert{\r\n    border-radius:14px;\r\n    padding:16px 18px;\r\n    margin:14px 0;\r\n    line-height:1.6;\r\n    box-shadow:0 4px 12px rgba(0,0,0,0.05);\r\n  }\r\n\r\n  .ana-alert-danger{\r\n    background:#fff1f2;\r\n    border-left:6px solid #d32f2f;\r\n  }\r\n\r\n  .ana-alert-warning{\r\n    background:#fff8e6;\r\n    border-left:6px solid #f59e0b;\r\n  }\r\n\r\n  .ana-card{\r\n    background:#ffffff;\r\n    border:1px solid #e5e7eb;\r\n    border-radius:18px;\r\n    padding:22px;\r\n    margin:18px 0;\r\n    box-shadow:0 8px 24px rgba(15,23,42,0.07);\r\n  }\r\n\r\n  .ana-card h2{\r\n    margin:0 0 16px 0;\r\n    font-size:24px;\r\n    color:#0f172a;\r\n  }\r\n\r\n  .ana-card h3{\r\n    margin:0 0 10px 0;\r\n    font-size:18px;\r\n  }\r\n\r\n  .ana-input-row{\r\n    display:flex;\r\n    flex-wrap:wrap;\r\n    align-items:center;\r\n    gap:12px;\r\n  }\r\n\r\n  .ana-input-row label{\r\n    font-weight:700;\r\n  }\r\n\r\n  .ana-input-row input{\r\n    min-width:180px;\r\n    padding:12px 14px;\r\n    border:1px solid #cbd5e1;\r\n    border-radius:10px;\r\n    font-size:16px;\r\n  }\r\n\r\n  .ana-input-row button{\r\n    border:none;\r\n    border-radius:10px;\r\n    background:#1976d2;\r\n    color:#ffffff;\r\n    font-size:16px;\r\n    font-weight:700;\r\n    padding:12px 18px;\r\n    cursor:pointer;\r\n  }\r\n\r\n  .ana-input-row button:hover{\r\n    background:#125ea8;\r\n  }\r\n\r\n  .ana-input-note{\r\n    margin:12px 0 0 0;\r\n    color:#475569;\r\n    line-height:1.5;\r\n  }\r\n\r\n  .severity-grid{\r\n    display:grid;\r\n    grid-template-columns:repeat(4,1fr);\r\n    gap:14px;\r\n  }\r\n\r\n  .severity-box{\r\n    border-radius:14px;\r\n    padding:16px;\r\n    color:#ffffff;\r\n    min-height:120px;\r\n  }\r\n\r\n  .severity-1{ background:#2e7d32; }\r\n  .severity-2{ background:#f9a825; color:#111827; }\r\n  .severity-3{ background:#ef6c00; }\r\n  .severity-4{ background:#c62828; }\r\n\r\n  .result-summary{\r\n    background:#eff6ff;\r\n    border:1px solid #bfdbfe;\r\n    border-radius:16px;\r\n    padding:18px;\r\n    margin-bottom:18px;\r\n  }\r\n\r\n  .result-summary h2{\r\n    margin:0 0 10px 0;\r\n    font-size:24px;\r\n    color:#0f172a;\r\n  }\r\n\r\n  .result-summary p{\r\n    margin:6px 0;\r\n    line-height:1.6;\r\n  }\r\n\r\n  .category-block{\r\n    margin-top:22px;\r\n  }\r\n\r\n  .category-title{\r\n    display:inline-block;\r\n    padding:10px 16px;\r\n    border-radius:12px;\r\n    color:#ffffff;\r\n    font-size:20px;\r\n    font-weight:700;\r\n    margin-bottom:14px;\r\n  }\r\n\r\n  .cat-adrenalin{ background:#c62828; }\r\n  .cat-antihistaminika{ background:#2e7d32; }\r\n  .cat-steroide{ background:#ef6c00; }\r\n  .cat-inhalation{ background:#1565c0; }\r\n  .cat-volumen{ background:#6d28d9; }\r\n\r\n  .med-grid{\r\n    display:grid;\r\n    grid-template-columns:repeat(2,1fr);\r\n    gap:18px;\r\n  }\r\n\r\n  .med-box{\r\n    border-radius:18px;\r\n    padding:18px;\r\n    color:#ffffff;\r\n    box-shadow:0 8px 20px rgba(0,0,0,0.10);\r\n  }\r\n\r\n  .bg-adrenalin{ background:#d32f2f; }\r\n  .bg-antihistaminika{ background:#388e3c; }\r\n  .bg-steroide{ background:#f57c00; }\r\n  .bg-inhalation{ background:#1976d2; }\r\n  .bg-volumen{ background:#7c3aed; }\r\n\r\n  .med-box h3{\r\n    font-size:20px;\r\n    margin:0 0 12px 0;\r\n    color:#ffffff;\r\n  }\r\n\r\n  .prep-title{\r\n    font-size:14px;\r\n    font-weight:700;\r\n    text-transform:uppercase;\r\n    letter-spacing:0.4px;\r\n    opacity:0.95;\r\n    margin-bottom:8px;\r\n  }\r\n\r\n  .prep-list{\r\n    margin:0 0 14px 0;\r\n    padding-left:18px;\r\n    line-height:1.7;\r\n  }\r\n\r\n  .prep-list li{\r\n    margin-bottom:3px;\r\n  }\r\n\r\n  .dose-title{\r\n    margin-top:10px;\r\n    font-size:14px;\r\n    font-weight:700;\r\n    text-transform:uppercase;\r\n    letter-spacing:0.4px;\r\n    opacity:0.95;\r\n  }\r\n\r\n  .dose-main{\r\n    font-size:26px;\r\n    font-weight:700;\r\n    margin:8px 0;\r\n    line-height:1.3;\r\n  }\r\n\r\n  .dose-text{\r\n    margin:6px 0;\r\n    line-height:1.6;\r\n  }\r\n\r\n  .dose-divider{\r\n    border:none;\r\n    border-top:1px solid rgba(255,255,255,0.28);\r\n    margin:14px 0;\r\n  }\r\n\r\n  .autoinjector-box{\r\n    margin-top:18px;\r\n    background:#fff1f2;\r\n    border-left:6px solid #d32f2f;\r\n    border-radius:14px;\r\n    padding:16px 18px;\r\n    line-height:1.6;\r\n  }\r\n\r\n  @media (max-width: 950px){\r\n    .severity-grid,\r\n    .med-grid{\r\n      grid-template-columns:1fr;\r\n    }\r\n\r\n    .ana-hero h1{\r\n      font-size:27px;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<script>\r\n  function berechnenAnaphylaxie(){\r\n    const kg = parseFloat(document.getElementById(\"gewicht\").value);\r\n    const result = document.getElementById(\"ana-result\");\r\n\r\n    if (isNaN(kg) || kg <= 0){\r\n      result.innerHTML = `\r\n        <div class=\"ana-card\">\r\n          <div class=\"ana-alert ana-alert-warning\" style=\"margin:0;\">\r\n            Bitte ein g\u00fcltiges Gewicht eingeben.\r\n          <\/div>\r\n        <\/div>\r\n      `;\r\n      return;\r\n    }\r\n\r\n    let adrenalineMg = kg * 0.01;\r\n    if (adrenalineMg < 0.1) adrenalineMg = 0.1;\r\n    if (adrenalineMg > 0.5) adrenalineMg = 0.5;\r\n    const adrenalineMcg = adrenalineMg * 1000;\r\n    const adrenalineMl = adrenalineMg;\r\n\r\n    const nebAdrenalineMl = Math.min(kg * 0.5, 5);\r\n    const nebAdrenalineMcg = nebAdrenalineMl * 1000;\r\n\r\n    const naclMl = kg * 20;\r\n\r\n    const clemastinMg = kg * 0.03;\r\n    const clemastinMl = clemastinMg;\r\n\r\n    const dimetindenMinMg = kg * 0.05;\r\n    const dimetindenMaxMg = kg * 0.1;\r\n    const dimetindenMinMl = dimetindenMinMg;\r\n    const dimetindenMaxMl = dimetindenMaxMg;\r\n\r\n    const predMinMg = kg * 2;\r\n    const predMaxMg = kg * 5;\r\n\r\n    const hydroMg = kg * 4;\r\n    const hydroMl = hydroMg \/ 50; \/\/ 100 mg \/ 2 ml = 50 mg\/ml\r\n\r\n    const dexaMinMl = Math.min(kg * 0.4, 22.5);\r\n    const dexaMaxMl = Math.min(kg * 1.1, 22.5);\r\n    const dexaMinMg = dexaMinMl * 0.4; \/\/ 2 mg \/ 5 ml = 0.4 mg\/ml\r\n    const dexaMaxMg = dexaMaxMl * 0.4;\r\n\r\n    const okridoMinMg = kg * 2;\r\n    const okridoMaxMg = kg * 5;\r\n    const okridoMinMl = okridoMinMg \/ 6;\r\n    const okridoMaxMl = okridoMaxMg \/ 6;\r\n\r\n    let autoText = \"\";\r\n    if (kg < 7.5){\r\n      autoText = \"Kein Autoinjektor. Adrenalin 1 mg\/ml aufziehen und 0,01 mg\/kg i.m. verabreichen.\";\r\n    } else if (kg >= 7.5 && kg <= 25){\r\n      autoText = \"Autoinjektor: Fastjekt junior 150 \u00b5g.\";\r\n    } else if (kg > 25 && kg <= 60){\r\n      autoText = \"Autoinjektor: Fastjekt 300 \u00b5g.\";\r\n    } else {\r\n      autoText = \"Autoinjektor: 300 \u00b5g; gegebenenfalls bei > 60 kg 500 \u00b5g.\";\r\n    }\r\n\r\n    result.innerHTML = `\r\n      <div class=\"ana-card\">\r\n        <div class=\"result-summary\">\r\n          <h2>Berechnete Notfalldosen f\u00fcr ${kg.toFixed(1)} kg<\/h2>\r\n          <p><strong>Adrenalin i.m.:<\/strong> ${adrenalineMg.toFixed(2)} mg = ${adrenalineMcg.toFixed(0)} \u00b5g = ${adrenalineMl.toFixed(2)} ml<\/p>\r\n          <p><strong>NaCl 0,9 % Bolus:<\/strong> ${naclMl.toFixed(0)} ml<\/p>\r\n        <\/div>\r\n\r\n        <div class=\"category-block\">\r\n          <div class=\"category-title cat-adrenalin\">Adrenalin<\/div>\r\n          <div class=\"med-grid\">\r\n            <div class=\"med-box bg-adrenalin\">\r\n              <h3>Adrenalin i.m.<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Adrenalin 1 mg\/ml<\/li>\r\n                <li>Intramuskul\u00e4r<\/li>\r\n                <li>In den anterolateralen Oberschenkel<\/li>\r\n                <li>Wiederholung alle 5\u201310 Minuten bei fehlender Besserung<\/li>\r\n                <li>Maximaldosis: 0,5 mg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${adrenalineMg.toFixed(2)} mg<\/div>\r\n              <p class=\"dose-text\">= ${adrenalineMcg.toFixed(0)} \u00b5g<\/p>\r\n              <p class=\"dose-text\">= ${adrenalineMl.toFixed(2)} ml i.m.<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-adrenalin\">\r\n              <h3>Autoinjektor<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Fastjekt junior 150 \u00b5g<\/li>\r\n                <li>Fastjekt 300 \u00b5g<\/li>\r\n                <li>gegebenenfalls 500 \u00b5g<\/li>\r\n                <li>Gewichtsabh\u00e4ngige Auswahl<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Hinweis<\/div>\r\n              <div class=\"dose-main\" style=\"font-size:21px;\">${autoText}<\/div>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"category-block\">\r\n          <div class=\"category-title cat-antihistaminika\">Antihistaminika<\/div>\r\n          <div class=\"med-grid\">\r\n            <div class=\"med-box bg-antihistaminika\">\r\n              <h3>Cetirizin p.o. (Zyrtec\u00ae)<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>L\u00f6sung 1 mg\/ml<\/li>\r\n                <li>Tropfen 10 mg\/ml<\/li>\r\n                <li>Tablette 10 mg<\/li>\r\n                <li>2\u20136 Jahre: 2,5 mg<\/li>\r\n                <li>6\u201311 Jahre: 5 mg<\/li>\r\n                <li>ab 12 Jahre: 10 mg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Dosishinweis<\/div>\r\n              <div class=\"dose-main\" style=\"font-size:22px;\">Altersabh\u00e4ngig<\/div>\r\n              <p class=\"dose-text\">2\u20136 Jahre: 2,5 ml L\u00f6sung oder 5 Tropfen<\/p>\r\n              <p class=\"dose-text\">6\u201311 Jahre: 5 ml L\u00f6sung oder 10 Tropfen oder \u00bd Tablette<\/p>\r\n              <p class=\"dose-text\">ab 12 Jahre: 10 ml L\u00f6sung oder 20 Tropfen oder 1 Tablette<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-antihistaminika\">\r\n              <h3>Desloratadin p.o. (Aerius\u00ae)<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>L\u00f6sung 0,5 mg\/ml<\/li>\r\n                <li>1\u20135 Jahre: 1,25 mg<\/li>\r\n                <li>6\u201311 Jahre: 2,5 mg<\/li>\r\n                <li>ab 12 Jahre: 5 mg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Dosishinweis<\/div>\r\n              <div class=\"dose-main\" style=\"font-size:22px;\">Altersabh\u00e4ngig<\/div>\r\n              <p class=\"dose-text\">1\u20135 Jahre: 2,5 ml<\/p>\r\n              <p class=\"dose-text\">6\u201311 Jahre: 5 ml<\/p>\r\n              <p class=\"dose-text\">ab 12 Jahre: 10 ml<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-antihistaminika\">\r\n              <h3>Tavegil\u00ae i.v. (Clemastin)<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>2 mg \/ 2 ml<\/li>\r\n                <li>entspricht 1 mg\/ml<\/li>\r\n                <li>Langsam i.v.<\/li>\r\n                <li>Dosierung: 0,03 mg\/kg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${clemastinMg.toFixed(2)} mg<\/div>\r\n              <p class=\"dose-text\">= ${clemastinMl.toFixed(2)} ml langsam i.v.<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-antihistaminika\">\r\n              <h3>Fenistil\u00ae i.v. (Dimetinden)<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>1 mg\/ml<\/li>\r\n                <li>Langsam i.v.<\/li>\r\n                <li>Dosierung: 0,05\u20130,1 mg\/kg<\/li>\r\n                <li>entspricht 0,05\u20130,1 ml\/kg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${dimetindenMinMg.toFixed(2)}\u2013${dimetindenMaxMg.toFixed(2)} mg<\/div>\r\n              <p class=\"dose-text\">= ${dimetindenMinMl.toFixed(2)}\u2013${dimetindenMaxMl.toFixed(2)} ml langsam i.v.<\/p>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"category-block\">\r\n          <div class=\"category-title cat-steroide\">Steroide<\/div>\r\n          <div class=\"med-grid\">\r\n            <div class=\"med-box bg-steroide\">\r\n              <h3>Hydrocortison i.v.<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>100 mg \/ 2 ml<\/li>\r\n                <li>entspricht 50 mg\/ml<\/li>\r\n                <li>Intraven\u00f6s<\/li>\r\n                <li>Dosierung: 4 mg\/kg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${hydroMg.toFixed(0)} mg<\/div>\r\n              <p class=\"dose-text\">= ${hydroMl.toFixed(2)} ml i.v.<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-steroide\">\r\n              <h3>Prednisolut\u00ae i.v.<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>10 mg \/ 2 ml<\/li>\r\n                <li>25 mg \/ 2 ml<\/li>\r\n                <li>50 mg \/ 2 ml<\/li>\r\n                <li>250 mg \/ 5 ml<\/li>\r\n                <li>Dosierung: 2\u20135 mg\/kg i.v.<\/li>\r\n                <li>Hohe Dosen langsam i.v. spritzen<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${predMinMg.toFixed(0)}\u2013${predMaxMg.toFixed(0)} mg<\/div>\r\n              <p class=\"dose-text\">i.v.<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-steroide\">\r\n              <h3>InfectoDexaKrupp Saft<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Dexamethason 2 mg \/ 5 ml<\/li>\r\n                <li>entspricht 0,4 mg\/ml<\/li>\r\n                <li>p.o.<\/li>\r\n                <li>Dosierung: 0,4\u20131,1 ml\/kg<\/li>\r\n                <li>entspricht 0,15\u20130,45 mg\/kg<\/li>\r\n                <li>Maximal 22,5 ml<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${dexaMinMl.toFixed(1)}\u2013${dexaMaxMl.toFixed(1)} ml<\/div>\r\n              <p class=\"dose-text\">= ${dexaMinMg.toFixed(2)}\u2013${dexaMaxMg.toFixed(2)} mg p.o.<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-steroide\">\r\n              <h3>Okrido-Saft<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Prednisolon 6 mg\/ml<\/li>\r\n                <li>p.o.<\/li>\r\n                <li>Dosierung: 2\u20135 mg\/kg<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${okridoMinMg.toFixed(0)}\u2013${okridoMaxMg.toFixed(0)} mg<\/div>\r\n              <p class=\"dose-text\">= ${okridoMinMl.toFixed(2)}\u2013${okridoMaxMl.toFixed(2)} ml p.o.<\/p>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"category-block\">\r\n          <div class=\"category-title cat-inhalation\">Inhalation<\/div>\r\n          <div class=\"med-grid\">\r\n            <div class=\"med-box bg-inhalation\">\r\n              <h3>Adrenalin zur Inhalation<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Adrenalin 1 mg\/ml<\/li>\r\n                <li>Vernebelung<\/li>\r\n                <li>Dosierung: 0,5 ml\/kg<\/li>\r\n                <li>Maximal 5 ml<\/li>\r\n                <li>gegebenenfalls mit NaCl 0,9 % auf 5 ml auff\u00fcllen<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${nebAdrenalineMl.toFixed(1)} ml<\/div>\r\n              <p class=\"dose-text\">= ${nebAdrenalineMcg.toFixed(0)} \u00b5g vernebelt<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-inhalation\">\r\n              <h3>Salbutamol vernebelt<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>5 mg \/ 2,5 ml<\/li>\r\n                <li>Vernebelung<\/li>\r\n                <li>Standarddosis: 5 mg<\/li>\r\n                <li>entspricht 2,5 ml<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">5 mg<\/div>\r\n              <p class=\"dose-text\">= 2,5 ml vernebelt<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-inhalation\">\r\n              <h3>Salbutamol i.v.<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>0,5 mg \/ 1 ml<\/li>\r\n                <li>Intraven\u00f6s<\/li>\r\n                <li>Dosierung: 10 \u00b5g\/kg<\/li>\r\n                <li>0,2 ml auf 5 ml mit NaCl 0,9 % verd\u00fcnnen<\/li>\r\n                <li>\u00dcber 2 Minuten injizieren<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${(kg * 10).toFixed(0)} \u00b5g<\/div>\r\n              <p class=\"dose-text\">= ${(kg * 0.02).toFixed(2)} ml unverd\u00fcnnt<\/p>\r\n              <p class=\"dose-text\">nach Verd\u00fcnnung langsam i.v.<\/p>\r\n            <\/div>\r\n\r\n            <div class=\"med-box bg-inhalation\">\r\n              <h3>Salbutamol \u00fcber Spacer<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Dosieraerosol<\/li>\r\n                <li>Inhalativ \u00fcber Spacer<\/li>\r\n                <li>1\u20132 Spr\u00fchst\u00f6\u00dfe<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Dosishinweis<\/div>\r\n              <div class=\"dose-main\">1\u20132 H\u00fcbe<\/div>\r\n              <p class=\"dose-text\">\u00fcber Spacer<\/p>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"category-block\">\r\n          <div class=\"category-title cat-volumen\">Volumen<\/div>\r\n          <div class=\"med-grid\">\r\n            <div class=\"med-box bg-volumen\">\r\n              <h3>NaCl 0,9 % Bolus<\/h3>\r\n              <div class=\"prep-title\">Pr\u00e4parat<\/div>\r\n              <ul class=\"prep-list\">\r\n                <li>Natriumchlorid 0,9 %<\/li>\r\n                <li>Intraven\u00f6ser Bolus<\/li>\r\n                <li>Dosierung: 20 ml\/kg<\/li>\r\n                <li>Bei Hypotonie \/ Schock<\/li>\r\n              <\/ul>\r\n              <hr class=\"dose-divider\">\r\n              <div class=\"dose-title\">Berechnete Dosis<\/div>\r\n              <div class=\"dose-main\">${naclMl.toFixed(0)} ml<\/div>\r\n              <p class=\"dose-text\">i.v. Bolus<\/p>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n    `;\r\n  }\r\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u26a0\ufe0f Wichtiger medizinischer Hinweis Dieser Anaphlxie-Rechner f\u00fcr Kinder wurde f\u00fcr den Einsatz in Notaufnahmen entwickelt, in denen Kinder behandelt werden. Die verwendeten Algorithmen und Dosierungen k\u00f6nnen von den lokalen Standards und Behandlungsprotokollen Ihrer Einrichtung abweichen. Die Eignung f\u00fcr den jeweiligen klinischen Einsatz muss daher vor der Anwendung \u00fcberpr\u00fcft werden. Obwohl bei der Entwicklung dieses Programms [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-10797","page","type-page","status-publish","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=\/wp\/v2\/pages\/10797","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=10797"}],"version-history":[{"count":28,"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=\/wp\/v2\/pages\/10797\/revisions"}],"predecessor-version":[{"id":10831,"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=\/wp\/v2\/pages\/10797\/revisions\/10831"}],"wp:attachment":[{"href":"https:\/\/kindernotfallzentrum-bonn.de\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=10797"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}