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Respiratory symptoms or hypotension: IV diphenhydramine 1 mg/kg, steroid, hold acetylcysteine for one hour, epinephrine (intramuscular bolus or infusion)

Not to be inhaled

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The reaction was then neutralized, and the intestinal phase was initiated by adding simulated intestinal fluid (pH 7.0) containing porcine pancreatin (100 U/mL) and bile extract (10 mM), followed by another 2-hour incubation at 37 C