Emergency Treatment Of Anaphylaxis

Question 1

What is the drug plan for anaphylaxis treatment?

Answer 1

Intramuscular Adrenaline

Question 2

What are the 11 steps in the management of anaphylaxis?

Answer 2

1. Eliminate additional exposure to the allergen
2. Give IM Adrenaline
3. Call for help
4. Place patient in a recumbent position with the lower limbs elevated and do not allow patient to stand quickly
5. Give supplemental oxygen
6. Administer IV fluid if hypotensive/ incomplete response to IM adrenaline
7. Administer nebulised bronchodilators for lower respiratory obstruction and/or nebulised adrenaline for stridor
8. Medications above may be repeated if there is inadequate response to therapy (5 minutes usually)
9. Administer adjuvant therapy (antihistamine and corticosteroids)
10. Admit subject with anaphylaxis for close observation for biphasic reaction (which resolves approximately 6 hrs)
11. Initiate or review risk reduction strategies after recovery from acute response.

Question 3

What does the action plan for at risk patients include?

Answer 3

1. Demographic information, doctors information, emergency contact, allergen and photo of patient.
2. Section details the minor and major symptoms
3. This section sets out how to manage the different symptoms based on whether they are minor or major
4. This section is a mandate that allows other people to administer adrenaline to the patient if they are unable to do so themselves and absolves responsibility.