Anaphylaxsis Flashcards

1
Q

Define an “allergic reaction”.

A

When the body’s immune system over reacts to a substance.

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2
Q

What are anti-bodies produced by?

A

Immunoglobulin E

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3
Q

Define “Anaphylaxis”

A

A Severe, life threatening, generalised or systemic hypersensitivity reaction.

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4
Q

What % of the population have allergies?

A

30%

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5
Q

What % of the population suffer from anaphylaxis?

A

2%

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6
Q

What are the 2 types of cells involved in anaphylaxis?

A
  • Basophillls
  • Mast cells
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7
Q

What is a Basophil?

A

A type of white blood cell which migrates to sites of immflamtion, and travel from capillaries to the tissue.

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8
Q

What is released by basophills?

A
  • Heparin,
  • Histamine
  • Seratonin
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9
Q

What is a Mast cell?

A

Connective tissue cells prominent in tissues that are exposed to the outside world.

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10
Q

What does Calcium cause?

A

Cellular contractions

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11
Q

What hormone binds to mast and basophillls during the initial stages of anaphylaxis?

A

Immunogloblin E

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12
Q

What enzyme is activated during anaphylaxis?

A

Tyrosine Kinase

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13
Q

What is caused by Histamine?

A
  • Vasodilation
  • Increased vascular permeability
  • Tachycardia
  • Increased contraction
  • Increased glandular secretion
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14
Q

What is caused by Prostaglandin D2?

A
  • Bronchoconstriction
  • Pulmonary and vasoconstriction
  • Peripheral vascular dilation
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15
Q

What is caused by Leukotrienes?

A
  • Bronchoconstrction
  • Increased vascular permeability
  • Release of platelet activating factor
  • Increased vascular permeability
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16
Q

How long would you expect a reaction after an IV exposure?

A

Within minutes

17
Q

How long would you expect a reaction after an oral intake of allergen?

A

Up to 30 minutes

18
Q

What skin signs would you expect during anaphylaxis?

A
  • Errythema
  • Urticaria
  • Angio oedema
19
Q

What are the air way signs of anaphylaxis?

A
  • Angio-oedema
  • Wheeze
  • Striddor
  • Hoarse voice
20
Q

What are the breathing signs and symptoms of anaphylaxis?

A
  • Dyspnoea
  • Hypoxia
  • Fatigue
  • Cyanosis
  • Bronchospasm
  • Low SPO2
21
Q

What are the circulatory symptoms of anaphylaxis?

A
  • hypotension
  • Tachycardia/ Bradycardia
  • Poor pallor
  • Dizziness
  • Myocardial ischaemia