What is the normal saline bolus dosage for severe anaphylactic shock?

The normal saline bolus dosage for severe anaphylactic shock is typically 1 liter, as this amount helps achieve rapid volume resuscitation, which is crucial in this emergency situation. Anaphylactic shock can lead to significant vasodilation and capillary leak, resulting in low blood volume and hypotension. Administering a bolus of this size aids in restoring circulation and improving blood pressure rapidly.

Monitoring lung sounds and blood pressure at each interval is vital because excessive fluid administration can lead to pulmonary edema, especially in patients who may have pre-existing cardiovascular issues. By checking these vital signs every 500 mL, it allows responders to assess for any adverse effects of fluid overload, ensuring patient safety during treatment.