Anaphylaxis

Question 1

anaphylaxis

Answer 1

severe, life threatening, systemic or generalised hypersensitivty reaction

Question 2

3 things for anaphylaxis

Answer 2

rapid onset + progression of symptoms
life threatening A/B or C
skin or mucosal changes

flushing
hives/ uticaria
angioodema

supported by exposure to known allergen

Question 3

A

Answer 3

any obstruction
stridor - upper airway obsturction high pitched
jaw thrust
non supported .:. oropharyngeal airway to support
NOW 999 Ambulance as pt unsupported
NOW deliver o2 15L/min bag valve mask
fill bag up

Question 4

B

Answer 4

breathing rate
20bpm is normal
wheezing

Question 5

C

Answer 5

pulse - rate upper end of rate = 100bpm  (60-100)
volume - weak - reduced BP 
character - regular
colour - pale
temperature - clammy 

clammy + pale = shock

Question 6

D

Answer 6

AVPU
alert
voice
pressure - trapezius squeeze and supraorbital notch pressure
Unresponsive

Question 7

E

Answer 7

exposure
skin or mucosal changes
flushing
hives
rash
angiooedema

Question 8

differential diagnosis

Answer 8

anaphylaxis
panic attack
asthma attack
faint 
septic shock - if low bp and hives

Question 9

adrenaline effects

Answer 9

affects sympathetic nervous system
alpha receptor agonist
- - vasoconstrictor
- reduces oedema

beta receptor

• dilating bronchioles
• increases contractility
• suppressing histamine release

Question 10

post adrenaline what do you do

Answer 10

monitor

pulse, bp, ecg, pulse oximeter

Question 11

dose of adrenaline

Answer 11

0.5 milligrams = 500 micrograms

1/1000 adrenaline
administer half of 1ml ampule

Question 12

IM injection

Answer 12

mid thigh
anterolateral of mid 1/3

pull skin taut, inserting needle, aspirating, inject dose, remove needle halfway, release skin, remove needle fully.

Question 13

main reasons for unconsciousness

Answer 13

vasovagal faint

hypoglycaemic