Allergic Reaction Flashcards Preview

Sac Metro Protocols > Allergic Reaction > Flashcards

Flashcards in Allergic Reaction Deck (12):
0

What is one of the most critical components when differentiating between allergic reaction and anaphylaxis

*any involvement in respiratory (wheezing/stridor) or oral/facial edema should be treated as anaphylaxis.

1

Key tx for allergic reaction that presents with stable vitals with a rash, hives.

Remove stinger
-Benadryl 50 mg PO/IV/IM

2

Anaphylaxis ALS treatment

Epi 0.3mg 1:1000 IM
Benadryl 50mg IV/IM/IO
Albuterol 2.5mg (3ml) if wheezing present
Consider CPAP
Contact base for IV Epi - 0.1 mg1:10,000 IV push

3

In extreme anaphylaxis you may consider IV Epi
A) Epi dose and concentration
B) When to epi admin

**Base Hospital Order Only**

A)Epi 0.1 mg increments of 1:10,000 slow IV push, for stridor and hypotension until a SBP >90 or a total of 0.5mg given

4

Allergic Reaction Definition

A local response to an antigen involving the skin (rash, hives, edema, etc) with normal vital signs. Any involvement of the respiratory system (wheezing, stridor, or oral/facial edema will be treated as anaphylaxis. remember that allergic reactions may deteriorate into anaphylaxis reassess often and be you prepared to treat for anaphylaxis

5

Anaphylaxis definition

The systemic response to an antigen involving two or more organ systems or any involvement of the upper and/or lower respiratory systems or any derangement of vital signs

6

Allergic Reaction/Anaphylaxis - BLS

O2 SpO2>94%. Use lowest concentration

Airway adjunct as needed

Remove sting/injection mechanism

Transport and begin therapy simultaneously

7

Allergic reaction ALS

Diphenhydramine Benadryl
50 mg PO/IV or IM

8

Anaphylaxis BLS

Oxygen adjust just flow and delivery mode as needed

Airway adjunct as needed

Remove sting/injection mechanism

Assist patient in the use of patient prescribed medication including autoinjectors

Transport and begin therapy simultaneously

9

Anaphylaxis ALS

Establish large bore IV access with normal saline, titrate to a systolic blood pressure of 90 - 100 mmHG

Epinephrine 0.3 mg of 1:1000 IM

Diphenhydramine Benadryl 50 mg IV/IM or I/O

ECG and SPO2 monitoring

Albuterol 2.5 mg 3 mL unit does HHN for wheezing. Reassess after first treatment, may be repeated as needed based on reassessment

CONSIDER CPAP

BASE HOSPITAL ORDER ONLY:
0.1 mg increments of 1 to 10,000, slow IV push, for stridor and hypotension, until a systolic blood pressure greater than 90 him mmHG or a total of 0.5 mg is given

10

Allergic Reaction/Anaphylaxis - Can you repeat Diphenhydramine and epi IM?

Does not say in protocol- Would need base contact

11

Allergic Reaction/Anaphylaxis - Albuterol
Dose
When to use
How many times can you repeat

2.5mg
Wheezing
Repeat as needed