CPP Adult Anaphylaxis

Question 1

Anaphylaxis - Adult

Pt meets RASH+ criteria

First step

Answer 1

1) Escalate care as per CPP006,
2) Consider pt’s own anaphylaxis mgmt plan,
3) Where possible remove antigen trigger,
4) Do not sit or walk pt - keep supine as possible unless significant respiratory distress.

Question 2

Anaphylaxis - Adult

Initial mgmt

Answer 2

a) 0.5mg Adrenaline IMI,
b) If unavailable use EpiPen,
c) Repeat adrenaline at 5min intervals PRN,
d) No max dose where pt remains RASH+ and PROFOUND side effects do not appear.

Question 3

Anaphylaxis - Adult

What must be considered following initial mgmt w adrenaline IMI?

Answer 3

a) Administer O2 (critical illness),
b) Audible stridor/facial swelling,
c) Bronchospasm,
d) Hypotension.

Question 4

Anaphylaxis - Adult

Audible stridor/facial swelling mgmt

Answer 4

5mg nebulised adrenaline
* One dose only.

Question 5

Anaphylaxis - Adult

Bronchospasm mgmt

Answer 5

5mg nebulised Salbutamol with,
0.5mg nebulised Ipratropium Bromide.

Question 6

Anaphylaxis - Adult

Hypotension mgmt

Answer 6

Saline IV bolus and
Adrenaline IV bolus NOT in ATA scope.

Question 7

Anaphylaxis - Adult

Nausea and vomiting mgmt

Answer 7

Do NOT manage nausea and vomiting with anti-emetics unless vomiting is uncontrollable and/or impairing airway.

Question 8

Anaphylaxis - Adult

Inadequate response to adrenaline w hx of heart failure or pt is taking beta blockers.

Answer 8

a) Glucagon 1mg IM,
b) Repeat once only at 10min PRN.