anaphylaxis

Question 1

AE anaphylaxis ?

Answer 1

c - look for any signs of shock
hoarsevoice , stridor swelling , wheeze
is the patient pale and clammy , tacycardic
PUT PATINET ON CARDIAC MONITOR

highflow oxygen !!!!

Question 2

when should IM adrenaline be repeated ?

Answer 2

AFTER 5 MINUTES

Question 3

How could this patient’s airway be maintained in an emergency situation when intubation is not immediately possible?

Answer 3

cricothyroidotomy can be performed in an emergency setting where intubation fails or cannot be undertaken.

4G needle and insufflation with 100% oxygen can be used as a temporary measure until a definitive airway can be achieved.

Question 4

The patient’s penicillin allergy had been documented on the admission documents but not on the drug chart. How should this be managed?

Answer 4

A clinical incident form should be logged as serious harm came to the patient. - and date for investigation

lead consultant should be known

and most important the duty of candour

Question 5

class anaphylaxis as a hypersensitivity reaction?

Answer 5

anaphylaxis is type 1 hypersensitivity

when iGe is released ends to mast cells to degranulate histamine and leukotrienes