lotion l-glutathione murah GLUTATHIONE Dr. MEINAIER 500 ML ( BLACK BOTTLE) Gluta White Glutathione & Cologne

Nationwide COD

(Boyle's law) Anesthesia planning Avoid morphine if possible (histamine release) Consider Ketamine Consider Propofol Avoid Etomidate (increased airway resistance and adrenal dysfunction) Consider paralytics Succinlcholine Rocuronium Cisatracurium Glucocorticoids Prednisone 40 mg Methylprednisolone 60 mg or (0.5-1 mg/kg q6 hrs to a max of 60 mg/day pediatric) Dexamethasone Consider use of empiric antimicrobials (azithromycin)

doi: 10.9734/BJPR/2017/32843 230 PeroniDGHufnaglKComberiatiPRoth-WalterF

Development of the reaction Within two hours of receiving ceftriaxone, the infant developed: Fever Tachycardia Clinical findings consistent with a Jarisch-Herxheimer reaction The infant improved with careful monitoring while antibiotic treatment continued