Anaphlaxis And Allergy

Question 1

Adrenalin epipen how to use and when

Answer 1

In ? Anaphylaxis CVS /RESP. Involvment in child
Unless insect bite then GIT involvment means anaphylaxis
CVS pale and floppy
RESP sign/ symptoms much more common in kids
Cough and wheeze common need epipen Wheeze sob swollen tongue swollen throat means anaphylaxis
Lie on the ground
Don’t stand or walk
Blue to the sky orange in the thigh
Call 000
No response after 5mins rpt
MUST be observed in hospital for 4 hours

Question 2

Medi alert braclet

Answer 2

Insect bite and penicillin allergy

Question 3

Insect anaphylaxis

Answer 3

Remember insect Anaphylaxis shows up as GIT vomiting abdo pain etc
Remove the sting ( honey bees leave their sting)
Medialert braclet
Epipen
Immunosuppressive therapy

Question 4

Allergy

Answer 4

Skin hives and lip swelling

Git vomiting and abdo pain *** except in insect bite= Anaphylaxis

Question 5

Anaphylaxis

Answer 5

CVS. Floppy pale , dizzy, collapse low BP
RESP more common signs and symptoms
Difficulty breathing tongue swollen throat swollen difficulty talking/ wheeze coughing. More common in childre
*** remember that GIT vomiting and abdo pain in insect bite= anaphylaxis

Question 6

How do you treat anaphylaxis

Answer 6

IMI Adrenalin 1/1000= 500 ugm
10ugm/kg/dose IMI
No IV cardiac arrhythmia
No s/c in poor perfusion does not work well
NEB does not work
20kg child has 200ugms. >12 years 500ugms
No role for antihistamine or steroids in ACUTE anaphylaxis

Question 7

Adrenaline works

Answer 7

Decreases the airway oedema
Improves bronchodilator
Vasoconstriction therefore improves BP and PR
STABILISES the MAST CELLS therefore decreases mediator release
Max 15-20 mins
If NO response after 5 mins rpt the epipen/ Adrenalin

Question 8

No contraidicaitons to adrenalin

Answer 8

True

Question 9

Don’t use antihistamines in anaphylaxis

Answer 9

Delays giving the Adrenalin

And side effects eg sedation can mimic anaphylaxis

Question 10

+SPN does NOT mean that you have an allergy to the thing

Answer 10

Note the more pronounced the response red swollen +++ the more likely the allergy is

Question 11

Peanut allergy and asthma

Answer 11

Give them an epipen Ture