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Anaphylaxis (Paed) Flashcards

1
Q

Recite the Anaphylaxis CPG (Part 1)

A
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2
Q

Recite the Anaphylaxis CPG (Part 2)

A
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3
Q

What are the care objectives for anaphylaxis?

A
  • Adrenaline (IM) with minimal delay
  • Airway and perfusion support
  • Hospital-based observation (usually 4 hours) at a minimum
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4
Q

What are the indications for adrenaline?

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5
Q

What are the contraindications for adrenaline?

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6
Q

What are the precautions of adrenaline?

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7
Q

What are the side effects of adrenaline?

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8
Q

What are the indications of salbutamol?

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9
Q

What are the contraindications for salbutamol?

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10
Q

What are the precautions for salbutamol?

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11
Q

What are the side effects of salbutamol?

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12
Q

What are the indications for ipratropium bromide?

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13
Q

What are the contraindications for ipratropium bromide?

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14
Q

What are the precautions of ipratropium bromide?

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15
Q

What are the side effects of ipratropium bromide?

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16
Q

What are the indications of dexamethasone?

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17
Q

What are the contraindications of dexamethasone?

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18
Q

What are the precautions of dexamethasone?

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19
Q

What are the side effects of dexamethasone?

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20
Q

Why do we use adrenaline in anaphylaxis?

21
Q

Why do we use salbutamol in anaphylaxis?

22
Q

Why do we use ipratropium bromide in anaphylaxis?

23
Q

Why do we use dexamethasone in anaphylaxis?

24
Q

Does the O2 therapy guideline apply to this CPG?

A

Yes - Anaphylaxis is considered a “critical illness”

25
Are there any CWI's that apply to this CPG?
* IM * Neb * pMDI * PO
26
What are 3 differential diagnoses?
* Anaphylaxis * Allergic reaction * Severe asthma
27
What are some care pathways/treatment options for anaphylaxis?
* Reassurance * Adrenaline IM * Oxygen * Adrenaline neb * Salbutamol neb * Ipratropium bromide neb * Dexamethasone PO * Reassessment * Transport all anaphylactic patients → at risk of a biphasic reaction
28
What are some extrication considerations?
* Ensure patient is sitting up * Do not walk
29
Why is Adrenaline IM with minimal delay a care objective in Anaphylaxis?
* Deaths from anaphylaxis are far more likely to be associated with delay in management rather than inadvertent administration of adrenaline * Onset time 30-90 seconds
30
List 4 precautions of adrenaline administration
* Elderly/frail patients * Patients with cardiovascular disease * Patients in MAOI’s * Higher doses may be required for patients on beta-blockers
31
What pharmacological action of adrenaline would be most beneficial for a patient with a wheeze?
* Beta 2 actions - causing bronchodilation
32
What are some secondary surveys for anaphylaxis?
* RASH * ? AEIOUTIPS
33
What are the indications for IM administration
34
What are the contraindications for IM administration
35
What are the precations for IM administration
36
What are the indications for nebs
37
What are the contraindications for nebs
38
What are the precautions for nebs
39
What are the indications for pMDI
40
What are the contraindications for pMDI
41
What are the precautions for pMDI
42
What are the indications for PO medication administration?
43
What are the contraindications for PO medication administration?
44
What are the precautions for PO medication administration?
45
What Risk factors do you need to request MICA for?
* expected clinical course (e.g. hx of refractory anaphylaxis/ICU admission/multiple adrenaline doses) * hypotensive * medication as precipitating cause (e.g. antibiotics, IV contrast) * Respiratory sx/respiratory distress * Hx of asthma of multiple co-morbidities/medications OR * no response to initial dose of IM adrenaline
46
What is the criteria for anaphylaxis?
47
What is the ASL treatment for Anaphylaxis?
* Adrenaline 10mcg/kg IM (max 500mcg) * High flow O2 additional therapies
48
What are the additional therapies and doses for anaphylaxis

Study Day 2 (29 decks)

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