Reactionl Flashcards

1
Q

What is the primary mediator of type 1 hypersensitivity reaction?

A

Immunoglobulin E (IgE)

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2
Q

Allergy type 1

A

Hypersensitivity to exogenous antigens

Common allergies pollen, mold. Fungi, foods, animals, dust

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3
Q

What are some allergy signs and symptoms?

A

Watery runny eyes
Runny nose
Sneezing
Nasal congestion
An itchy rash or hives

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4
Q

Anaphylaxis

A

Immediate type 1 hypersensitivity
Rapid release of IgE mediated chemicals
Induces severe, life threatening allergic reaction
Food, drug and insect bites

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5
Q

What are some signs and symptoms of anaphylaxis in the lungs?

A

Trouble breathing or noisy
Coughing, wheezing
Sneezing
Congestion
Tightness in lungs
Hoarseness

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6
Q

What are some signs and symptoms of anaphylaxis in the skin?

A

Pale or flushed skin
Hives or welts
Itchy skin
Sweating

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7
Q

Signs and symptoms of anaphylaxis in the mouth

A

Swelling of throat face lips or tongue

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8
Q

Sighs and symptoms of anaphylaxis in stomach and digestion

A

Abdominal pain
nausea vomiting
Diarrhea

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9
Q

Signs and symptoms of anaphylaxis in the heart and blood vessels

A

Chest pain
Low blood pressure
Week rapid pulse
Dizziness fainting

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10
Q

Stridor

A

When there physical constriction of the airway
High pitched whistling sound most often heard when taking a breath , trouble breathing

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11
Q

Parathesia

A

Numbness

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12
Q

Pruritus

A

Itching

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13
Q

Angioedema

A

Swelling around the mouth

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14
Q

Erythema

A

Redness

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15
Q

Urticaria

A

Itching

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16
Q

First line of defense for treatment for anaphylaxis

A

Epinephrine

17
Q

What causes anaphylaxis?

A

Insect stings (bees,wasp, ant)
Medication reaction
Food allergy (peanuts,eggs, shellfish)

18
Q

Anaphylactic reaction

A

Rapid onset
Dyspnea
Feeling of apprentice
Tingling swelling in mouth face throat and tongue
Itching
(Drop in bp,tachycardia, loss of consciousness)

19
Q

Who carries an epi pen?

A

A person with identified anaphylaxis

20
Q

What is the second line of defense or for mild allergic reactions ?

A

Benadryl

21
Q

What is the dosage for an epi pen?

A

0.3 mg IM, one time use

22
Q

How do you store an epi pen?

A

Light sensitive so needed to be kept in storage tube out of extreme heat or extreme cold

23
Q

Where do you administer the epi pen?

A

In the thigh

24
Q

What is so controversial about an epi pen?

A

Very expensive!!

25
Q

Ways that epinephrine are administered in the hospital

A

SQ
IM
IV

26
Q

SQ epinephrine

A

Given in a small needle just under the skin
Takes 5-10 minutes to work
Will last 1-4 hours in the body

27
Q

IM epinephrine

A

in a big muscles
Will take 6-12 minutes to kick in
Will last 1-4 hours

28
Q

IV epinephrine

A

Will kick in rapidly
Will last 20-30 mins

29
Q

SQ,IM for anaphylactic reactions

A

Small doses
May repeat every 10-15 minutes

30
Q

IV for anaphylactic reactions

A

Given every 5-15 minutes

31
Q

What happens when anaphylactic is not going down?

A

We can continuously give epinephrine for a short period of time

32
Q

How can Benadryl be given ?

A

PO
IM
IV

33
Q

PO Benadryl route

A

Takes 15-60 minutes
Last 4-8 hours

34
Q

IM Benadryl

A

takes 20-30 to kick in
Last 4-8 hours

35
Q

IV Benadryl

A

Onset rapidly
Last 4-8 hours

36
Q

Most allergies are atopic-genetic predisposed. What does that mean?

A

There is a genetic pre disposition of the development of allergies