Allergy

Question 1

Steps to managing Anaphylaxis. Include dosages

Answer 1

ABC Movies 
Adrenaline (0.5 mg epi 1:1000) 
Breathing (5L NP) 
Corticosteroids (125 mg methyl prednisolone)
Diphenhydraming (50 mg)
Epi again 
Fluids (500 cc saline) 
Glucacon if on B blockers 
H2 blocker (ranitidine 150 mg)
Inhaled salbutamol

Question 2

Dose of epi in kids

Answer 2

0.01 mg/kg 1:1000 IM up to 0.3 mg

Question 3

What is the new evidence saying for what is actually helpful and not so helpful in anaphylaxis

Answer 3

Epi helpful
Anithistamine optional
Steroids expendable

Question 4

Criteria to diagnose anaphylaxix

Answer 4

Acute onset of two symptoms 
Skin 
Resp
Hypotension 
GI symptoms

Question 5

When can you let someone leave the hospital

Answer 5

Observe for 4-8 hours because 23% will have rebound reactions
Steroids do not prevent this

Question 6

Four types of allergy

Answer 6

Type 1 IGE-Acute onset anaphyaxis symptoms
Type 2 cytotoxic-hours to weeks of blood work changes (anemai)
Type 3 immune complex-1-3 weeks fever, rash, vasculitis, arthritis
Type 4 T cells 2-14 days-Stevens johnson, maculopapular rash

Question 7

When is it okay to give pen or similar when someone says they have a pen allergy

Answer 7

FAST
0 of:

Five years since last reaction
Anaphylaxis
Severe cutaneous reaction
Treatment required

<1 % chance of allergy