angioedema manaement Flashcards
What is the initial treatment for patients with rapidly developing angioedema without anaphylaxis?
The initial treatment for patients with rapidly developing angioedema without anaphylaxis is chlorphenamine and hydrocortisone.
How should chlorphenamine and hydrocortisone be administered for rapidly developing angioedema?
Chlorphenamine and hydrocortisone should be given slowly as an infusion (IV) or intramuscularly (IM).
What should be arranged for patients with rapidly developing angioedema after initial treatment?
Arrange emergency admission and a review after the person has been discharged from the hospital.
What should be identified for people with stable angioedema without anaphylaxis?
For people with stable angioedema without anaphylaxis, the underlying cause should be identified to avoid further episodes.
Is treatment always needed for patients with mild symptoms of angioedema?
Treatment may not be needed for patients with mild symptoms of angioedema.
What is the treatment for patients with symptoms of angioedema requiring treatment?
For patients with symptoms requiring treatment, cetirizine (or other non-sedating antihistamines such as fexofenadine or loratadine) can be used.
How long can cetirizine or other non-sedating antihistamines be used for angioedema?
Cetirizine or other non-sedating antihistamines can be used for up to 6 weeks, with the duration of treatment determined by clinical judgement.
When should oral corticosteroids be used for angioedema and what is an example of a dosage?
Oral corticosteroids should be used if symptoms are severe, given in addition to the non-sedating oral antihistamine. An example dosage is prednisolone 40 mg daily for up to 7 days.
What should patients with angioedema be advised to do if symptoms progress rapidly or anaphylaxis symptoms develop?
Advise the person to seek immediate medical help (by dialing 999 or attending A&E) if symptoms progress rapidly or if symptoms of anaphylaxis develop.
Where can additional information on urticaria and angioedema be found?
Additional information on urticaria and angioedema can be found in the British Association of Dermatologists (BAD) information leaflet on Urticaria and Angioedema and the Allergy UK website.
