Chapter 21: Immunologic Emergencies Flashcards

1
Q

Substance that causes an allergic reaction.

A

Allergen

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2
Q

The body’s exaggerated immune response to an internal or surface agent.

A

Allergic Reaction

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3
Q

An extreme, life-threatening, systemic allergic reaction that may include shock and respiratory failure.

A

Anaphylaxis

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4
Q

Localized areas of swelling beneath the skin, often around the eyes and lips, but it can also involve other body areas as well.

A

Angioedema

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5
Q

The act of injecting venom.

A

Envenomation

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6
Q

A substance produced by the body and a drug produced by the pharmaceutical companies that increases pulse rate and blood pressure; the drug of choice for an anaphylactic reaction.

A

Epinephrine

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7
Q

Chemical substances released by the immune system in an allergic reaction responsible for many of the symptoms of anaphylaxis such as vasodilation.

A

Histamines

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8
Q

The body’s response to a substance perceived as foreign.

A

Immune Response

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9
Q

The body system that includes all of the structures and processes designed to mount a defense against foreign substances and disease causing agents.

A

Immune System

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10
Q

The study of body’s immune system.

A

Immunology

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11
Q

Chemical substances that contribute to anaphylaxis; released by the immune system in allergic reactions.

A

Leukotrienes

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12
Q

A harsh, high pitched respiratory sound, generally heard during inspiration, caused by partial blockage or narrowing of the upper airway.

A

Stridor

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13
Q

A harmful substance produced by living cells or organisms.

A

Toxin

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14
Q

Aa raised, swollen, well defined area on the skin resulting from an insect bite or allergic reaction.

A

Wheal

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15
Q

A high pitched, whistling breath sound that is most prominent on expiration, and which suggests an obstruction or narrowing of the lower airways.

A

Wheezing

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16
Q

Small areas of generalized itching and/or burning that appear as multiple raised areas on the skin; hives.

A

Urticaria

17
Q

Signs/Symptoms of Mild Allergic Reaction

A
18
Q

Signs/Symptoms of Anaphylaxis

A
19
Q

Mild Allergic Reaction Treatment

A
  • Monitor for s/sx of anaphylaxis
  • Transport
20
Q

Anaphylaxis Treatment

A
  • Treat what you see
  • Epinephrine
  • Transport (rapid if no improvement/worsening s/sx)
21
Q

What three effects does epinephrine have that is significant in reversing anaphylaxis?

A
  • Vasoconstriction
  • Bronchodilation
  • Inhibits granulation (prevents release of chemical mediators that cause vasodilation)
22
Q

List the side effects of epinephrine.

A
  • Tachycardia
  • Sweating
  • Pale Skin
  • Dizziness
  • Headache
  • Palpitations
23
Q

List the adult and pediatric dosages.

A

Adult = 0.3mg
Pediatric = 0.15mg

24
Q

List the absolute contraindications of epinephrine.

A

There are none.

25
Q

List the relative contraindications of epinephrine.

A
  • Acute Coronary Syndrome
  • Heart Disease
  • Pregnancy