_LOCAL FIRST AID:_
1. Remove bee stinger from sting site by gently scraping with
fingernail or blade to prevent further venom injection from
attached venom sac
2. Wash site with soap and water
3. Apply ice packs or ammonia in 10% solution
4. Apply baking soda and water paste
5. Elevate and rest involved limb
_SYSTEMIC:_
1. Epinephrine (1:1,000) subcutaneous injection (0.2-0.5 ml in adults
and 0.1-0.3 ml in children). Repeat in 5-10 min if necessary
2. Analgesics (ASA, Tylenol) for pain
3. Antihistamines (Chart 1)—Useful only for urticarial and pruritic
reactions
4. Treat for shock as necessary (Chart 2)
_LONG-TERM MANAGEMENT:_ (for hypersensitive patients)
1. Medic-alert tag or bracelet
2. Emergency treatment kit and instructions for use
3. Program for desensitization