Treatment

Question 1

Nurse management

Answer 1

Epinephrine pin. Provide O2. Monitor respirations. Monitor vital signs. CPR. Teach pt about dx bracelets. Education about avoiding allergic foods.

Question 2

History of anaphylaxis

Answer 2

Acute multiorgan system reaction. Most common organ system involved is cutaneous, respiratory, cardiovascular and gastrointestinal.

Question 3

Most common sx

Answer 3

90% have some combination of urticaria, erythema, pruritus, or angioeedema.

Question 4

3 most common triggers for anaphylaxis

Answer 4

Insect stings-wasp and bees. Peanuts and tree nuts. Other foods- such as milk and seafood. Certain meds, such as antibiotics. Seasame. Aspirin,other pain relievers, some IV contrasts.

Question 5

ABCDE approach

Answer 5

Airway, breathing, circulation, disability (level of consciousness). Prompt IM of epinephrine is tx of choice. Place pt in comfortable position, provide airway management, give high flow O2

Question 6

Rule of 2

Answer 6

Reactions usually begin within 2 minutes to 2 hours after injection, infusion, ingestion, contact or inhalation.

Question 7

Hallmark of anaphylaxis

Answer 7

Precipitate onset of multi system dysfunction-with respiratory, cardiovascular, gastrointestinal and neurological system involvement

Question 8

Difference between anaphylaxis and anaphylactic shock?

Answer 8

Anaphylaxis a severe life threatening generalized or systemic rapid onset (anaphylaxis) hypersensitivity reaction (allergic or non allergic). Anaphylactic shock is a severe rapidly progressing anaphylactic reaction