Allergic Reactions Flashcards

1
Q

Methylprednisolone (Solu-Medrol)

Class

A

Corticosteriod, Anti-inflammatory

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2
Q

Methylprednisolone (Solu-Medrol)

Description

A

synthetic adrenal corticosteriod, effective as an anti-inflammatory. Used in management of allergic reations and some shock. Sometimes used in treatment of spinal cord injury.

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3
Q

Methylprednisolone (Solu-Medrol)

Indications

A

Spinal cord injury, asthma, severe anaphylaxis, COPD

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4
Q

Methylprednisolone (Solu-Medrol)

Contracindications

A

No major contraindications in emergency setting

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5
Q

Methylprednisolone (Solu-Medrol)

Precautions

A

Single dose only in prehospital setting

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6
Q

Methylprednisolone (Solu-Medrol)

Dosage

A

Adult: 125mg IV/IM
Pedi: 1-2 mg/kg IV/IM
Spinal cord injury: 30 mg/kg IV over 15 mins

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7
Q

Diphenhydramine (Benadryl)

Class

A

Antihistamine

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8
Q

Diphenhydramine (Benadryl)

Description

A

Blocks histamine release, thereby reducing bronchoconstriction, vasodilation, and edema

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9
Q

Diphenhydramine (Benadryl)

Indications

A

Anaphylaxis, allergic reations, and dystonic reactions

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10
Q

Diphenhydramine (Benadryl)

Contraindications

A

Asthma and other lower respiratory diseases

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11
Q

Diphenhydramine (Benadryl)

Precautions

A

May induce hypotension, headache, palpitations, tachycardia, sedation, drowsiness, and disturbed coordination

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12
Q

Diphenhydramine (Benadryl)

Dosage

A

Adult: 25-50mg IV/IM
Pedi: 1-2 mg/kg IV

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13
Q

Epinephrine (Adrenalin)

Class

A

Sympathomimetic

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14
Q

Epinephrine (Adrenalin)

Description

A

Naturally occuring catecholamine that increases heart rate, cardiac contractile force, myocardial electrical activity, systemic vascular resistance, and systolic blood pressure. Decreases overall airway resistance and automaticity. Through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity

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15
Q

Epinephrine (Adrenalin)

Indications

A

Restore rhythm in cardiac arrest, severe allergic reactions, COPD, asthma

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16
Q

Epinephrine (Adrenalin)

Contraindications

A

Narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock

17
Q

Epinephrine (Adrenalin)

Dosage Adult bradycardia

A

2-5mcg/min IV drip mix 1mg/250cc

18
Q

Epinephrine (Adrenalin)

Dosage Asthma/COPD

A

.01mg/kg to max of .3mg 1:1,000 SQ

19
Q

Epinephrine (Adrenalin)

Dosage Arrest

A

Adult: 1mg of 1:10,000 IV / 3-5mins (ET: 2-2.5 mg 1:1,000)

Pedi: .01mg/kg 1:10,000 IV/IO All subsequent doses .1 mg/kg IV/IO. No max

20
Q

Epinephrine (Adrenalin)

Dosage Allergic reactions

A

Adult: .3mg of 1:1,000 IM / 5-15 min as needed or .5-1mg 1:10,000 IV if IM dose ineffective or severe reaction. Consider IV drip 2-10mcg/min if severe

Pedi: .01mg/kg (Max .5) of 1:1,000 IM/10-15 min or .01mg/kg of 1:10,000 IV if IM dose is ineffective or severe