32 - Adult - Allergy/Anaphylaxis

Question 1

What are the S/S of allergy in the CV system?

Answer 1

• hypoperfusion, including cool skin

Question 2

What are the S/S of allergy in the respiratory system?

Answer 2

• respiratory distress
• stridor
• wheezing

Question 3

What are the S/S of allergy in the CNS?

Answer 3

• headache
• dizziness
• seizure

Question 4

What are the S/S of allergy in the GI system?

Answer 4

• abdominal pain
• N/V
• diarrhea

Question 5

What are the S/S of allergy in the integumentary system?

Answer 5

• rash
• itching
• hives
• welts

Question 6

For adult patients with allergic reactions in respiratory distress, with ALOC, or laryngeal edema, what should be administered?

Answer 6

0.3 mg SQ/IM 1:1000 epinephrine

Question 7

What is the repeat time for the only repeat dose of 1:1000 epi in the adult allergic reaction patient?

Answer 7

10 minutes

Question 8

In the adult patient with severe itching/hives in an allergic reaction, what medication is administered?

A. 125 mg IV Solumedrol
B. 50 mg IV Benadryl
C. 25 mg Topical Benadryl
D. 0.3 mg IV 1:1000 epinephrine

Answer 8

B. 50 mg IV Benadryl

Incorrect:
A. 125 mg IV Solumedrol - not given for skin symptoms, but for respiratory distress

C. We do not have topical Benadryl

D. Like Solumedrol, the 1:1000 epinephrine is reserved for severe allergic reactions/respiratory distress

Question 9

For the adult allergic reaction patient who remains hypotensive after 1:1000 epinephrine, what may be administered next?

Answer 9

5 mcg/kg/min IV dopamine, increased by 5 mcg/kg/min q2min to a max of 20 mcg/kg/min