Management of Anaphylaxis

Question 1

What are symptoms of of anaphylaxis

Answer 1

Inspiratory stridor
Wheeze
Hypotension
Tachycardia
GI symptoms - vomit etc

Question 2

What are signs of anaphylaxis?

Answer 2

Sudden onset
Hives/ urticaria
Upper airway angiooedema
Flushing or pallor

Question 3

What is a late sign of anaphylaxis?

Answer 3

Cyanosis

Question 4

What are the 3 signs of anaphylaxis to look out for?

Answer 4

Sudden and rapid onset
Life threatening airway/ breathing or circulation issues
Skin and/or mucosal changes

Question 4

What type of hypersensitivity is anaphylaxis?

Answer 4

Type I = immediate

Question 5

What is patho-physiology of anaphylaxis?

Answer 5

Antigen crosslinking w/ membrane bound IgE - release of vasoactive mediators

Question 6

What are the differentials if suspect anaphyaxis?

Answer 6

Vasovagal reaction
Asthma
COPD
Panic/ anxiety attack

Question 7

Basic principle of managing ME?

Answer 7

ABCDE
Airway, breathing, circulation, disability, exposure

Question 8

How to manage anaphylaxis

Answer 8

Stop procedure
Remove cause of reaction
Clear airway
Call for help
Loosen tight clothing
Administer 1ml of 1: 1000 adrenaline IM
Administer high flow oxygen

Question 9

How often to repeat adrenaline?

Answer 9

Every 5 mins

Question 10

How should pt be positioned if anaphylaxis?

Answer 10

If conscious lay flat
If unconscious recovery position