Allergic Reactions Flashcards

0
Q

Benadryl

Another Name

A

Diphenhydramine

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1
Q

Diphenhydramine

Another Name

A

Benadryl

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2
Q

Diphenhydramine (Benadryl)

Class

A

Antihistamine

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3
Q

Diphenhydramine (Benadryl)

Description

A

Blocks histamine release, thereby reducing bronchoconstriction, vasodilatation and edema

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4
Q

Diphenhydramine (Benadryl)

Indication

A

Anaphylaxis, allergic reactions, and dystonic reactions

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5
Q

Diphenhydramine (Benadryl)

Contraindication

A

Asthma, other lower respiratory reactions

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6
Q

Diphenhydramine (Benadryl)

Precautions

A

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

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7
Q

Diphenhydramine (Benadryl)

Dose/Route

A

25-50 mg IV/IM

Pedi: 1-2 mg/kg

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8
Q

Dexamethasone

Another Name

A

Decadron

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9
Q

Decadron

Another Name

A

Dexamethasone

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10
Q

Dexamethasone (Decadron)

Class

A

Steroid

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11
Q

Dexamethasone (Decadron)

Description

A

Long acting synthetic adrenocorticoid with intense anti-inflammatory activity. It prevents the accumulation of inflammation generating cells at the site of infection or injury

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12
Q

Dexamethasone (Decadron)

Indications

A

Anaphylaxis, asthma, COPD, spinal cord edema

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13
Q

Dexamethasone (Decadron)

Contraindication

A

None in emergency setting.

Relative contraindications: systemic fungal infections, acute infections, tuberculosis, varicella, vaccinia or live virus vaccinations

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14
Q

Dexamethasone (Decadron)

Precautions

A

Herpes simplex, keratitis, myasthenia gravis, hepatic or renal impairment, diabetes, CHF, seizures, psychic disorders, hypothyroidism and GI ulceration

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15
Q

Dexamethasone (Decadron)

Dose/Route

A

4-24 mg IV/IM

Pedi: 0.5-1 mg/kg

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16
Q

Methylprednisolone

Another Name

A

Solu-Medrol

17
Q

Solu-Medrol

Another Name

A

Methylprednisolone

18
Q

Methylpredisolone (Solu-Medrol)

Class

A

Corticosteroid, anti-inflammatory

19
Q

Methypredisolone (Solu-Medrol)

Description

A

Synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. Sometimes used in treatment of spinal cord injury

20
Q

Methylprednisolone (Solu-Medrol)

Indications

A

Spinal cord injury, asthma, severe anaphylaxis, COPD

21
Q

Methylprednisolone (Solu-Medrol)

Contraindications

A

None in emergency settings

22
Q

Methylprednisolone (Solu-Medrol)

Precautions

A

Only a single dose should be given in the prehospital setting

23
Q

Methylprednisolone (Solu-Medrol)

Dose/Route

A

Asthma/COPD/anaphylaxis: 125-250 mg IV/IM
Pedi: 1-2 mg/kg/dose IV/IM
Spinal chord injury: 30 mg/kg IV over 15 min

24
Q

Pepcid

Another Name

A

Famotidine

25
Q

Famotidine

Another Name

A

Pepcid

26
Q

Pepcid (Famotidine)

Class

A

Anti-Ulcer Agent

H2-Receptor Agonist

27
Q

Pepcid (Femotidine)

Description

A

Histamine-2 blocker. Works by decreasing the amount of acid the stomach produces.

28
Q

Pepcid (Famotidine)

Indications

A

Upper GI bleed, anaphylaxis

29
Q

Pepcid (Famotidine)

Contraindications

A

Hypersensitivity, long qt syndrome

30
Q

Pepcid (Famotidine)

Precautions

A

Asthma, COPD

31
Q

Pepcid (Famotidine)

Dose/Route

A

20mg IV

32
Q

Epinephrine

Another Name

A

Adrenaline

33
Q

Adrenaline

Another Name

A

Epinephrine

34
Q

Epinephrine (Adrenaline)

Class

A

Sympathomimetic

35
Q

Epinephrine (Adrenaline)

Description

A

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

36
Q

Epinephrine (Adrenaline)

Indications

A

To restore rhythm in cardiac arrest, severe allergic reactions, severe SOB, bradycardia

37
Q

Epinephrine (Adrenaline)

Contraindications

A

Narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock

38
Q

Epinephrine (Adrenaline)

Arrest Dose/Route

A

1mg of 1:10,000 IV/IO 3-5 min (ET: 2-2.5 mg 1:1,1000))

Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000). All subsequent doses 0.1 mg/kg IV/IO. No max

39
Q

Epinephrine (Adrenaline)

Bradycardia Dose/Route

A

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

40
Q

Epinephrine (Adrenaline)

Allergic Reactions Dose/Route

A

0.3-0.5 mf of 1:1,000 IM/5-15 min as needed or 0.5-1 mg of 1:10,000 IV if IM dose ineffective or severe reaction. consider IV drip 2-10mcg/min if severe.
Pedi: 0.1 mg/kg (max 0.5) of 1:1,000) IM/10-15 min or 0.01 mg/kg of 1:10,000 IV if IM dose ineffective or severe

41
Q

Epinephrine (Adrenaline)

Asthma/COPD Dose/Route

A

0.01 mg/kg to max of 0.3 mg 1:1,000 SQ