Adult Allergic Reaction and Anaphylaxis

Question 1

Differentiate between a reaction and anaphylaxis.

Answer 1

Reactions typically have local or generalized swelling. Anaphylaxis is characterized by wheezing, airway compromise, and/or systolic BP of less than 90 mmHg

Question 2

What are the signs and symptoms of these?

Answer 2

itching or hives, coughing, wheezing, distress, chest or throat constriction, difficulty swallowing, hypotension, edema

Question 3

As the medic what should you do for all of these patients?

Answer 3

cardiac monitor and an IV

Question 4

What should you do with pts who present with hives and rash ONLY?

Answer 4

administer benadryl

Question 5

What should you do with pts who present with severe respiratory involvement?

Answer 5

administer Epinephrine and benadryl,

Question 6

If pt. wheezing what should you do?

Answer 6

administer DuoNeb and apply nasocapnography

Question 7

What other drugs can you administer if epi, benadryl, duoneb not efficient enough?

Answer 7

dexamethasone

Question 8

What should your repeat breathing drug be?

Answer 8

Albuterol only repeat until waveform gets back to normal

Question 9

What is your dose for Epinephrine?

Answer 9

.3mg IM of epinephrine 1:1000

Question 10

What is your dose for Benadryl?

Answer 10

25 to 50 mg IV or IM

Question 11

What are your dosages for the duoneb?

Answer 11

Atrovent 0.5mg and Albuterol 5mg via nebulizer

Question 12

What is your dosage of Dexamethasone?

Answer 12

10 mg IV/IM