Human disease L37: chocking and anaphylaxis

Question 1

resus council guidelines state that you should do what

if there is a mild airway obstruction

Answer 1

encourage cough

Question 2

what intervention can harm the victim if they are suffering from mild airway obstruction

Answer 2

back blows and abdominal thrusts

Question 3

if a patient has severe airway obstruction, unable to cough and remain conscious how would you intervene?

Answer 3

5 back blows - between shoulder blades, then 5 abdominal thrusts

phone 999 if not resolved and continue with back blows and abdominal thrusts

if patient lose consciousness and are not breathing start CPR

Question 4

a severe and life threatening generalized hypersensitivity reaction

characterised by rapidly developing airway and/or brathing and/ or circulation problems

what is being described

Answer 4

anaphylaxis

Question 5

which of these anaphylactic substance leads to the quickest time to cardiac arrest in order

food

stings

drug injected

drug oral

Answer 5

drug injected

stings

drug oral

food

Question 6

would features would you see, when someone is having airway problems during an anaphylaxis

Answer 6

airway swelling - throat and tongue swelling

difficulty breathing and swallowing

sensation of throat closing up

hoarse voice - voice will sound brathy, raspy or strained

stridor - high pitched wheezing

Question 7

what features would you see when someone is having breathing probelms during an anaphylactic shock

Answer 7

feel short of breath

increased resp rate

wheeze fatigue

hypoxia

confusion

eventually cyanosis and respiratory arrest

Question 8

what features would you see when someone is having circulation probelms during an anaphylactic shock

Answer 8

signs of shock - pale, clammy

tachycardia

hypotension

faintness

drowsiness

eventually cardiac arrest

Question 9

what features would you see when someone is having disability probelms during an anaphylactic shock

Answer 9

sense of impending doom and panic

reducing conscious level due to ABC problems

Question 10

what features would you see when someone is having exposure probelms during an anaphylactic shock

Answer 10

skin changes often first feature

present in 80% of anaphylactic reactions

• erythema: patchy red rash
• urticaria: swollen red rash on skin

angiodema - swelling of mucosal tissues: throat/ eyes/ lips

Question 11

name the condition

Answer 11

erythema - patchy red rash

Question 12

name the condition

Answer 12

urticaria - swollen red rash on skin

Question 13

name the condition

Answer 13

angiodema - swelling of mucosal tissues: throat, lips, eyes

Question 14

the mainstay treatment of anaphylaxis management is giving intramuscular adrenaline

what are the dosage levels for adrenaline

Answer 14

500 micrograms >12 years old/ adult

300 micrograms child 6-12 years

150 micrograms 0-6 years