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Lcems Medical guidelines > Allergic Reaction / Anaphylaxis > Flashcards

Allergic Reaction / Anaphylaxis Flashcards

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USMLE® Step 1 flashcards
1
Q

Name the differential impressioins

A
  1. localzed allergic reaction
  2. systemic anaphylaxis reaction
  3. anaphylactic shock
  4. angioedema
  5. systemic anaphylactoid reaction
  6. anaphylactoid shock
  7. transfusion reaction
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2
Q

Basic life support actions # 1

A

Universal care line

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3
Q

Basic life support actions # 2

A

Patient safety guidline

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4
Q

Basic life support actions # 3.5

A

Epi pen im

Pedi: epipen, jr im

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5
Q

Basic life support actions # 3.5

A
  • Epinephrine (1mg/ml-1:1000) .5mg(.5ml) Im
  • Pediatri:epinephrine (1mg/ml-1-1000) .15 mg( .15ml) im : may repeat once
  • Infant: epi 1-1000) .1mg (.1ml) IM
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6
Q

what is the first line therapy for anaphylaxis/anaphylactoid reactions

A

Epi 1 to 1000 im

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7
Q

what are the absolute contraindications for epi im for anaphalaxis? any special considerations?

A

No absolute contraindications. Use with caution for elderly people with known heart disease

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8
Q

Basic life support actions # 4

A

Albuterol 2.5 mg AT

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9
Q

Basic life support actions # 5

A

Cpap 5-15peep

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10
Q

Advanced life support actions/considerations # 1

A
  • Epinephrine (1mg/ml-1:1000) .5mg(.5ml) Im

Pediatri:epinephrine (1mg/ml-1-1000) .15 mg( .15ml) im : Max DOSE is .3MG IM

Infant: epi 1-1000) .1mg (.1ml) IM

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11
Q

Advanced life support actions/considerations # 2

A
  • Fluids 10 ml /kg iv io , repeat as needed
  • Pedi: fluids 20 ml / kg iv io prn
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12
Q

What is the second line therapy for anaphalaxis/anaphalactoid reactions?

A

Fluids (LR)

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13
Q

Advanced life support actions/considerations # 3

A
  • Diphenhydramine 50 mg iv/ im
  • Pedi: Diphenhydramine 1mg/kg iv//im
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14
Q

Advanced life support actions/considerations # 4

A
  • Albuterol 2.5 mg AT;prn
  • Pedi: same
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15
Q

Persistant shark fin capnogram suggest what

A

on going bronchospasm

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16
Q

Advanced life support actions/considerations # 5

A
  • DuoNeb: albuterol 2.5 mg and ipratropium .5 mg AT
    • No PEdi
17
Q

Advanced life support actions/considerations # 6

A
  • Methylprednisolone 125mg SIVP
  • Pediatric: 2 mg/kg SIVP maximu dose is 125 mg
18
Q

Advanced life support actions/considerations # 7

A
  • Epinephrine .1-.5 mcg/kg/min iv/io infusion
19
Q

Advanced life support actions/considerations # 8

A
  • Epinephrine (.1mg/ml 1-10,000) .5mgiv/io
  • for pre or peri cardiopulmonary arrest states
20
Q

when do you need orders

A
  1. repeat duoneb
  2. Pediatric:epi .1-1 mcg/kg/min iv/io

Lcems Medical guidelines (18 decks)

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