EAC Anaphylaxis Flashcards

1
Q

define:

Anaphylactic Shock

A

Anaphylaxis is a severe allergic reaction, often affecting the whole body

Anaphylaxis occurs when patients are exposed to an allergen to which they may become over sensitive

An exaggerated allergic reaction which is characterised by bronchospasm and vascular collapse

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2
Q

define:

Allergen

A

An antigen to which an individual is hypersensitive

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3
Q

define:

Antigen

A

Any substance that the body regards as foreign or potentially dangerous and against which it produces an antibody (immune response)

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4
Q

define:

Antibody

A

A protein produced in response to a specific foreign substance (antigen) that destroys or inactivates the foreign substance

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5
Q

define:

Allergy

A

An adverse reaction on re-exposure to a substance that does not ordinarily cause adverse symptoms in the average person

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6
Q

define:

Anaphylactic shock

A

An extreme and generalised allergic reaction

In which widespread histamine release causes oedema, bronchoconstriction, heart failure, circulatory collapse and sometimes death.

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7
Q

Routes for Antigens into the body

A

Injection
Ingestion
Absorption
Inhalation

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8
Q

define:

Specific Defence Mechanism

A

After the body is invaded the first time by an antigen and has fought it off. To respond quicker next time, the body develops an Immunological Memory. This makes a specific immune cell that can produce specific antibodies to that antigen if it invades the body again.

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9
Q

define:

Non-specific defence Mechanism

A

The bodies generic defence mechanism involving the white blood cells e.g. Phagocytosis (eating) by Macrophage and Neutrophil cells

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10
Q

define:

Abnormal Immune Response

A

The immune system is unable to recognise when enough chemicals have been released to fight the antigen. Immunological response goes into overdrive and ends up destroying the body.

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11
Q

main cells involved in immunity

A

Mast cells

Phagocytes:
Macrophages
Neutrophils

Basophils

Lymphocytes:
T-Lymphocytes
B-Lymphocytes

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12
Q

describe:

Mast Cells

A

Similar to Basophils but found in loose connective tissues. When they come into contact with damaged or diseased cells they de-granulate and spill histamine (inflammatory) and heparin (anticoagulant) into the surrounding area.

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13
Q

describe:

phagocytes

A

non-selective in their targets. They bind, engulf and digest foreign cells or particles.

Macrophages also act as an antigen presenting cells to stimulate t-lymphocytes and activate an immune response.

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14
Q

describe:

Basophils

A

Found in the circulation. Releases granules of heparin (anticoagulant) and histamine (inflammatory) when stimulated by an allergen.

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15
Q

describe:

Lymphocytes

A

A white blood cell produced in bone marrow released into the blood stream.

further processed into two types:
T-Lymphocytes: provide cell mediated immunity
B-Lymphocytes: provide antibody mediated immunity

Both B and T Lymphocytes respond to only one specific antigen and ignore all others

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16
Q

common causes of Anaphylactic reactions:

Foodstuffs

A

nuts – such as walnuts, cashew nuts, almonds, brazil nuts and hazelnuts
milk
fish and shellfish
eggs
some types of fruit – such as bananas, kiwi fruit, grapes and strawberries

17
Q

common causes of Anaphylactic reactions:

Drugs

A

antibiotics
muscle relaxants
NSAID - ibuprofen

18
Q

common causes of Anaphylactic reactions:

Venoms

A

Spider bite

Snake Bite

19
Q

common causes of Anaphylactic reactions:

Other allergens

A
Contrasting agents
Latex
Animals
Vaccines
Cosmetics
Dust and Moulds
Plants
20
Q

signs and symptoms of:

Allergy (early stages of Anaphylaxis)

A
Itchy rash
Swelling around eyes
Prickly lips
Dry, non productive cough
Restlessness
21
Q

signs and symptoms of:

Anaphylaxis

A
Flushed Skin
Tachycardia
Chest tightness
Tongue and throat swelling
Wheeze
Hoarseness
Dyspnoea
22
Q

signs and symptoms of:

Anaphylactic Shock

A
Stridor
Hypotension
Bronchospasm
Cyanosis
Circulatory collapse
Respiratory collapse
may also include:
Nausea/vomiting
abdominal cramps
Profuse watery diarrhoea
abdominal distension
Headache
Dizziness
Confusion
Collapse
23
Q

therapeutic drugs for:

Anaphylaxis

A

high % Oxygen

Nebulised Salbutamol

Adrenaline 1:1000

24
Q

why consider paramedic for Anaphylactic Shock

A

Advanced airway

IV Fluids

Drugs

Always ask yourself is there time to wait?

25
Q

management of:

Anaphylaxis

A

DRABCDE

High % O2

Adrenaline

Salbutamol

continually monitor and re-assure

?paramedic assistance
?Time critical transfer - pre alert