management of anaphylaxis Flashcards
what is anaphylaxis?
reactions that occur suddenly that are life threatening
What is the first line of treatment for anaphylaxis?
epinephrine IM or IV
what is the 2nd line of treatment, usually what follows after?
diphenhydramine or benadryl
what is the 3rd line of treatment, usually last resort?
albuterol and steroids
what are 3 side effects that patients might feel when it comes to receiving epinephrine?
tachycardia
palpitation
dizziness
how often are we repeating the epi if symptoms continue or until we resolve?
5-15minutes
what are the 7 steps in helping a patient who is having an anaphylaxis reaction?
- remove trigger
- adminsiter epi
( repat ever 5-10 minutes if it contuines with symptoms ) - support airway, breathing
( high fowlers, oxygen ) - fluid resuscitation if needed to maintain bp
- antihistamines and corticosteroids help reduce inflammation and allergic symptoms
- monitor and observe signs
( keep in hospital for 4 hours or more to monitor ) - long term manamgent
what are some signs and symptoms to look out for a patient who is having an allergic reaction?
pale cool and clammy skin
weak rapid pulse
troublebreating
confusion
loss of consciousness
swelling, edema
hives
feeling of doom or dread
vomiting, diarrhea, wheeing
difficulty swallowing
what is happening to the heart during a allergic reaction?
4 things
drop in blood pressure
increase in heart rate
weak pulse
feeling faint
when do symptoms of anaphylaxis start ?
usually 5 to 30mins of coming in contact with the allergen
where do we inject epi if its IM?
large muscle of your upper outer thigh
make sure we inform patients about the importance of avoiding contact and always keeping an epi in hand if they have an anaphylaxis reaction
