anaphylaxis guidelines Flashcards
Treat life-threatening features, using the ABCDE approach. what is this
airway
breathing
circulation
disability
exposure
Give intramuscular (IM)
adrenaline early (in which region????) for Airway/Breathing/Circulation
problems.
in the anterolateral thigh
You have given IM in the anteolateral thigh for a pt for ABC problems. However they are still persisting
Can you give another dose
yes after 5 mins
is there always skin changes in anaphylaxis e.g. urticaria, erythema, swelling, flushing, angioedema etc
no absent in 20% cases
what is the first thing to do after you have diagnosed someone as having anaphylaxis following the ABCDE approach
call for help - resuscitation team or ambulance
where is the anterolateral aspect of the thigh
middle part of thigh, inject IM (90 degree angle)
once you have called for help (999 ambulance) after diagnosing anaphylaxis based on ABCDE, what is the next step
remove trigger if possible e.g. stop infusion
lie patient flat - with or without legs elevated
sitting position may be easier
Pregnant: lie on LEFT side
which side should you lay pregnant women on
LEFT
who can give IV adrenaline
specialists in specialsit setting
describe the position to put pt in before giving them IM adrenaline
you have diagnosed anaphylaxis (ABCDE), you have called for help, you have stopped any triggers and put patient in safe position. What now?
administer IM adrenaline to middle part of thigh
if no response, can repeat after 5 min
what are the IM doses for adrenaline for the different age groups
anaphylaxis is characterised by the following
patient has no ABC symptoms - are they likely to have anaphylaxis
no
this is not anaphylaxis
Patients can have either an A or B or C problem or any combination. What are some examples of each
