Emergency

Question 1

S/s anaphylaxis

Answer 1

2 or more organ systems involved

• DIB
• swelling of tongue or throat
• cough, wheezing
• n/v
• and pain
• hypotension

Question 2

Epi form anaphylaxis

Answer 2

Acts within 3-5 min

Mainstay of tx

Question 3

Anaphylaxis med dosing

Answer 3

Epi 1:1000 0.3 mg children and p.5 mg adults
Albuterol
Benadryl 25-50
Steroid single dose
Glucagon if bet blocker tx and hypotension 20-30mcg/kg max 5 adults
IVF
O2

Question 4

Biphasic rxn to anaphylaxis

Answer 4

5% have recurrence of anaphylaxis in 72 hrs

Obs for >6 hr excludes recurrence in 95% of pts