Ch. 20 (Immunological Emergencies)

Question 1

You lift the child's shirt and find small, raised areas that he is trying to scratch. They are likely to be:
A) Leukotrienes
B) Histamines
C) Urticaria.
D) Toxins.

Answer 1

C) Urticaria

Question 2

Why is this patient wheezing?
A) He has had an envenomation.
B) His bronchioles are constricting
C) His bronchioles are dilating
D) His uvula has swollen

Answer 2

B) His bronchioles are constricting

Question 3

The child's mother has an EpiPen that contains the appropriate dose of epinephrine for a child. What dose would that be?
A) 0.8mg
B) 0.5 mg
C) 0.4 mg
D) 0.15 mg

Answer 3

D) 0.15 mg

Question 4

When assisting with an auto-injector, how long should you hold the pen against the thigh?
A) 3 seconds 
B) 5 seconds
C) 10 seconds
D) 30 seconds

Answer 4

C) 10 seconds

Question 5

After removing the auto-injector from the child's thigh, you should do all of the following EXCEPT:
A) Record the time.
B) Record the dose.
C) Reassess his vital signs
D) Place ice over the injection site

Answer 5

D) Place ice over the injection site

Question 6

List the common side effects of epinephrine

Answer 6

1) Tachycardia
2) Sweating
3) Pale skin
4) Dizziness
5) Headache
6) Palpitations

Question 7

What are the five stimuli that most often cause allergic reactions?

Answer 7

1) Food
2) Medication
3) Plants
4) Chemicals
5) Insect bites & Stings