Anaphylaxis Flashcards

1
Q

What is anaphylaxis

A

Life threatening hypersensitivity

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2
Q

What is the difference between anaphylaxis and an allergic reaction

A

Severity, rapid onset and decline distinguish it from an allergic reaction

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3
Q

What is released in an anaphylactic shock

A

Massive over release of histamine

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4
Q

What can an over release of histamine cause

A

Life threatening problems affecting the airway, breathing and circulatory systems

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5
Q

List the categories common allergens can fall under

A
  1. Food
  2. Insect stings
  3. Medication
  4. Materials
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6
Q

Name some common food allergens

A

Nuts
Shellfish
Eggs

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7
Q

Name some common insect stings that can lead to anaphylactic shock

A

Bees

Wasps

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8
Q

List some medications that can lead to anaphylactic shock

A

Penicillin

NSAIDS

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9
Q

What do we look for in a patient suffering from anaphylaxis

A
  1. Sudden onset and rapid progression of symptoms
  2. Life threatening airway and/or breathing and/or circulation problems
  3. Changes to skin and/or mucosa
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10
Q

What can happen to the airway during anaphylaxis

A
  1. Soft tissues may swell

2, An associated stridor may also be present

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11
Q

What can bronchoconstriction result in

A

Results in breathing difficulty and wheezing

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12
Q

What can happen to circulation in anaphylaxis

A

Profound vasodilation resulting in hypotension and shock

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13
Q

How does anaphylaxis usually present

A

Typically has a uni phasic presentation where symptoms occur suddenly and progress radially

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14
Q

How do we manage anaphylaxis

A
  1. Call an ambulance
  2. Semi recline patient and elevate legs
  3. Administer adrenaline
  4. 15 litres per minute of oxygen
  5. Salbutamol as a supportive measure
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15
Q

What does adrenaline do in a patient with anaphylaxis

A

Acts as a bronchodilator and vasoconstrictor

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16
Q

What does salbutamol do in a patient with anaphylaxis

A

Acts as a bronchodilator

17
Q

How much adrenaline do we administer to a patient under 6 months

A

100-150 mcg of adrenaline 1:1000

18
Q

How much adrenaline do we administer to a patient under 6 years old

A

150 mcg of adrenaline 1:1000

19
Q

How much adrenaline do we administer to a patient between 6-12 years old

A

300 mcg of adrenaline 1:1000

20
Q

How much adrenaline do we administer to a patient older than 12

A

500 mcg of adrenaline 1:1000