RRAPID ANAPHYLAXIS

Question 1

what is it?

Answer 1

life threatening allergic reaction

Question 2

symptoms (8)

Answer 2

1. rash
2. urticaria
3. laryngeal oedema
4. angio-oedema
5. severe bronchospasm
6. hypotension
7. shock
8. nausea, vomitting or diarrhoea

Question 3

ABCDE (2, 4,4)

Answer 3

A

• secure airway
• call anaesthetist if worried

B

• O2 15l/min via reservoir mask
• treat wheeze if present
• 5mg salbutamol nebulised, 5-10 mins
• Ipratropium bromide 500mcg nebulised

C

• IV access
• bloods
• raise legs to help restore circulation
• Fluid bolus
  e. g. 500 mls 0.9% NaCl

Question 4

Main treatment (4)

Answer 4

1. adrenaline 0.5mg (0.5mls of 1:1000) intramuscular
   - repeat every 5 mins if necessary
2. chorphenamine 10 mg IV
3. hydrocortisone 200 mg IV
4. may need vasopressors or inotropes to maintain bp