Anaphylaxis

Question 1

Features
Airway: swollen lips/tongue, sneezing
Breathing: […], shortness of breath
Circulatory: tachycardia, hypotension/shock, […]
Gastrointestinal: abdominal pain, […], vomiting
Skin: urticaria, […], flushed skin

Answer 1

wheezing
angioedema
diarrhoea
pruritis

Question 2

Mx
1. Remove […] if possible e.g. disconnect IV Abx line
2. Call for help early
3. Lie patient […] and […] legs
4. Administer IM […]

+/- IV fluids (if shocked)
HIGH FLOW O2

Answer 2

flat, raise
adrenaline

Question 3

M 1:[…] adrenaline

Child up to 6 months
[…]-[…] micrograms - 0.1–0.15 mL

Child 6 months–5 years
150 micrograms - 0.15 mL

Child 6-[…] years
[…] micrograms - 0.3 mL

Child […] - […] years 500 micrograms 0.5 mL

Answer 3

1000
100–150
300
11
12–17

Question 4

Can patients go home straight away after treatment

Answer 4

NO
Patients should be monitored for 6-12 hours after the initial presentation in case of a rebound episode

Question 5

Patient advice on anaphylaxis
1. Counselling on to use adrenaline […]
2. Supply of […] auto-injectors
3. […] advice
4. A referral to the local allergy service for follow-up

Answer 5

auto-injectors
2
Written