question archive What would be the immediate medical management with rationale for anaphylaxis? Differentiate mild anaphylaxis reactions from severe reactions including manifestations and treatment
What would be the immediate medical management with rationale for anaphylaxis? Differentiate mild anaphylaxis reactions from severe reactions including manifestations and treatment
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What would be the immediate medical management with rationale for anaphylaxis?
Differentiate mild anaphylaxis reactions from severe reactions including manifestations and treatment
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Immediate medical management for anaphylaxis
- Allergen (remove it) if we know the particular thing that is causing a patient anaphylaxis we need to remove it. Giving high flow oxygen, anaphylaxis reaction causes bronchoconstriction managing the airway of the patient is important.
- Call Rapid Response (start CPR, if needed, until help arrives)During an anaphylactic attack, you might receive cardiopulmonary resuscitation (CPR) if you stop breathing or your heart stops beating.
- Trendelenburg Position: this is the supine position with the legs elevated (unless vomiting (lay on side) or having major airway issues). This position will help increase venous return to the heart and increase cardiac output and blood pressure.
- First-line Drug is Epinephrine: This medication can administered IM or Subq (dose may be repeated, if needed per MD order). It may needed IV if severe hypotension persists. Epinephrine causes vasoconstriction which will increase the blood pressure, reduce swelling, and cause bronchodilation. Inject immediately at first sign of anaphylaxis. The injection cannot harm them if it is a false alarm, but could save their life. If the person has an anaphylaxis action plan from a doctor for injecting epinephrine and other emergency measures
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MILD ANAPHYLAXIS REACTION |
SEVERE ANAPHYLAXIS REACTION |
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manifestations:
Mild allergic reactions do not spread to other parts of the body. Mild reactions include local symptoms (affecting a specific area of your body)
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manifestations: Anaphylaxis is a rare, life-threatening emergency in which the response to the allergen is sudden and affects the whole body. Allergy symptoms may within minutes progress to more serious symptoms, including:
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Treatment: -For insect allergy - flick out sting sting if visible -For tick allergy seek medical help or freeze tick and let it drop off. -Stay with person and call for help -Locate adrenaline autoinjector -Phone family/ emergency contact
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Treatment: -Lay the person flat. Do not allow them to stand or walk
-Give adrenaline autoinjector -Phone ambulance -Further adrenaline doses mat be given if no response after 5 minutes -Commence CPR at any time if person is unresponsive and not breathing normally. |
