Conservative
Information, advice, support
Remove cause (drugs, food, stings)
CPR/ALS as needed
Monitoring: obs, ECG, mast cell triptase (biphasic reactions)
Confirm anaphy if 1st attack (mast cell tryptase at BL, 1h, 6-24h)
Report drug reactions
Refer to immunology to identify cause (skin prick tests)
Medic Alert bracelet
Provide 2x epipen for attacks