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RRAPID > anaphylaxis > Flashcards

anaphylaxis Flashcards

1
Q

hsitory in possible anaphylaxis

A

prev admissions with anaphylaxis

any known allergies

any admissions to ICU with anaphylaxis

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2
Q

specific blood test in suspected anaphylaxis

A

mast cell tryptase

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3
Q

when to start advanced life support in possible anaphylaxis

A

no pulse present

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4
Q

why raise legs in anaphylaxis

A

help restore circulation

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5
Q

triad of anaphylaxis diagnosis

A

acute onset

life threatening airway and/or breathing and/or ciruclation problems

skin changes

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6
Q

immediate management of anaphylaxis

A

adrenaline

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7
Q

adrenaline management in anaphylaxis

A

IM doses of 1:1000 adrenaline (repeat after 5min if no better)

500micrograms in adult

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8
Q

IV adrenaline

A

only by experienced specialists - 50micrograms in adults and 1 microgram/kg in children

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9
Q

management of anaphylaxis after adrenaline

A 
establish airway
high flow O2
IV fluid challenge
chlorphenamine
hydrocortisone
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10
Q

what to monitor in anaphylaxis

A

pulse oximetry
ECG
blood pressure

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11
Q

IV fluid challenge

A

adult - 500-100ml

child - crystaloid 20ml/kg

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12
Q

what IV fluid may cause anaphylacxis

A

IV colloid

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13
Q

hydrocortisone in anaphylaxis

A

200mg IM or slow IV

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14
Q

chlorphenamine in anaphylaxis

A

1omg IM or slow IV

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15
Q

referrals in anaphylaxis

A

discuss with senior member
contact critical care outreach team
consider ICU

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16
Q

when to consider ICU referral

A

Failure to respond to medical management

Patient requires ventilator support

Patient requires blood pressure support

Deterioration of blood gas following medical management

17
Q

future management of anaphylaxis

A

second sample of mast cell tryptase 1-2 hrs post event

observe for 6-12 hrs in case biphasic reaction

patient should be referred to specialised allergy service

RRAPID (20 decks)

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