Epinephrine / Anaphylaxis

Question 1

What is an antigen?

Answer 1

A foreign substance recognized by the cells of the immune system and eventually destroyed

Question 2

What is an allergic reaction?

Answer 2

Allergens cause an abnormal response by the immune system.

Question 3

What is the weight cut off to determine the adult or the junior doseage?

Answer 3

65 lbs

Question 4

What are the doseage amounts of the adult and the junior epi?

Answer 4

Adult - .3 mg Junior - .15 mg

Question 5

What are the two key categories of signs and symptoms for anaphylaxis?

Answer 5

Respiratory compromise and Shock/hypoperfusion

Question 6

What are the skin signs associated with anaphylaxis?

Answer 6

hives, rash, itching (urticaria)
flushed or red skin (erythemia)
swelling to face, lips, tongue, hands feet
cyanosis
pallor, diaphoresis

Question 7

What are the respiratory signs associated with anaphylaxis?

Answer 7

SOB, chest tightness, tachypnea, wheezing, stridor, two or three word sentences, partial or complete airway occlusion.

Question 8

What are the cardiovascular system signs associated with anaphylaxis?

Answer 8

Tachycardia, hypotension, no radial pulse

Question 9

What are the Central Nervous System signs of anaphylaxis?

Answer 9

Increased anxiety, seizures, unresponsiveness

Question 10

What are the GI signs of anaphylaxis?

Answer 10

Nausea, vomiting, abdominal cramping, diarrhea, swallowing difficulty

Question 11

What two things do you check on the epinephrine before administering?

Answer 11

Expiration date and cloudiness/discoloration

Question 12

How long do you hold the injector against the site before removing?

Answer 12

10 seconds

Question 13

What are the steps after administering the epi?

Answer 13

Discard the injector in the sharps container and massage the injector site for 30 seconds. Monitor vitals and document on the F20B

Question 14

What is the cut off age to administer epi without a prescription?

Answer 14

18 years old