3.3 Anaphylaxis Flashcards Preview

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Flashcards in 3.3 Anaphylaxis Deck (15):
1

If your anaphylaxis patient is status 1 or status 2 what do you give them in regards to medicines?

0.3 - 0.5mg IM adrenaline

2

Can you give a patient their own epi pen?

Yes

3

What do you do for a patient with upper airway oedema or swelling.

5mg nebulised adrenaline (in addition to other treatments) and repeat as required.

4

Can you repeat IM adrenaline?

Yes after 10 minutes if patient is status two and not improving.

5

What would you do for your anaphylaxis patient is a wheeze is present?

Nebulised bronchodilators

6

What is anaphylaxis?

Rapid onset, multiple organ, generalised hypersensitivity syndrome.

7

What are the characteristics of anaphylaxis?

Skin features (urticarial, itch or flush, swelling) AND one or more of the following:
Respiratory - SOB, chest or throat tightness, wheeze or stridor
Cardiovascular - shock, hypotension, fainting, collapse, altered LOC
Gastrointestinal - nausea/vomiting, cramping, abdo pain, explosive diarrhoea

8

What does exposure to an allergen cause to happen in the body?

Release of inflammatory mediators from mast cells and basophiles.

9

What part of causes the reaction symptoms of the body?
a) mast cells
b) inflammatory mediators
c) adrenaline
d) basophiles
e) histamines

b) inflammatory mediators
AND
e) histamines

10

If a patient only has a localised skin reaction do they have anaphylaxis?

No

11

Is it possible for a patient to have anaphylaxis without exhibiting skin symptoms?

Yes

12

What are some common exposures that can cause anaphylaxis?

Peanuts
Bee stings
Shellfish
Medications

13

Should you withhold adrenaline if a patient is having an anaphylactic reaction but baselines seem stable?

No - have a low treshhold

14

What conditions would make you reduce the dose of IM adrenaline in adults?

Small
Elderly
Ischaemic heart disease

15

If a patient has swelling of the face and mouth but no other symptoms of anaphylaxis what would you expect?

Angioedema

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