Anaphylaxis Flashcards
1
Q
What are some common causes of anaphylaxis
A
Allergy - nut, shellfish, strawberries, latex
drugs - antibiotics, NSAIDs
Bee/Wasp sting
2
Q
What are the clinical features of anaphylaxis
A
Resp –> swelling of upper airway, wheeze, dyspnoea, chest tightness, hypoxia, hypercapnia
Skin –> urticaria, pruritus, erythema, angio-oedema
CVS –> peripheral vasodilation, hypotension, shock
3
Q
How is anaphylaxis managed
A
Lie patient flat and raise legs IM adrenaline 0.5mg (0.5ml of 1 in 1000) Maintain airway - get help. Intubation or emergency surgical airway may be needed High flow oxygen IV fluid challenge - 500ml-1L Hydrocortisone 200mg IM or slow IV Chlorphenamine 10mg Im or slow IV
4
Q
What can be added if treatment hasnt helped with breathing
A
Inhaled salbutamol 5mg with oxygen
5
Q
What type of monitoring is needed for an anaphylactic patient
A
ECG - arrhythmias
Sats
BP
