Epinephrine Flashcards

1
Q

MED17:?

A

allergic reaction

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2
Q

type of transport for anaphylactic reaction

A

10-30

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3
Q

which substance is being released by your body during an anaphylactic shock?

A

histamine

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4
Q

what is angioedema?

A

swelling of tissues: tongue, skin, eyes, hands, airways, etc.

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5
Q

what are the main causes of allergies (categories)

A

food, venom, insects, medication

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6
Q

what are the most common medication allergies?

A

antibiotics (penicillin), AAS (anti-inflammatory), Iodine (intravenous contrast)

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7
Q

what are the most common insect allergens and what do they cause generally?

A

bees, wasps, ants will cause a circulatory failure

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8
Q

what are the most common food allergens and what do they generally cause?

A

peanuts, nuts, seafood, eggs, dairies, fruits, sesame seeds, wheat, soy… will cause a respiratory distress

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9
Q

what does histamine do on the body?

A

dilates blood vessels, bronchoconstriction and urticaria rash

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10
Q

what is anaphilaxia?

A

an allergic reaction where the immune system reacts in a sudden and exaggerated way when in contact with an allergic substance (allergen).

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11
Q

route for epi

A

IM

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12
Q

inclusions pour epi

A

exposition à un allergene dans les derniers 4h ou adimistration d’épi dans les derniers 7 jours (reaction biphasique)

ET (1 des 2)

1) problemes circulatoire OU détresse respiratoire

2) DEUX des 4
- urticaire (rash) et agioédeme (swelling)
- diff. respiratoire
- défaillance circulatoire
- symptomes gastro-intestinaux

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13
Q

exclusions pour epi

A

none!

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14
Q

dosage for epi

A
  1. 30 mg (≥25kg anaphylaxie… avec pouls)
  2. 50 mg (≥25 kg cardiac arrest… SANS pouls) after intubation **ONCE ONLY
  3. 15 mg (< 25kg anaphylaxie… avec pouls)
  4. 30 mg (< 25kg cardiac arrest… SANS pouls) after intubation ****ONCE ONLY
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15
Q

repetition of epi

A

q. 5 mins si l’état empire

q. 10mins si aucune améliorations et que les inclusions sont encore présents.

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16
Q

therapeutic effects of epi

A

will temporarily relieve the person from the allergic reaction…. will open airways and constrict blood vessels

17
Q

side effects of epi

A

nausé, vomissemen, maux de tête, tremblements, anxiété et tachycardie

18
Q

if pt. took an epipen before your arrival, do you still give epi? when?

A

YES, always give YOUR medication…

right away!

19
Q

if the allergen is not identified but pt. is known to have anaphylaxia to certain allegens, what do you do?

A

give epi regardless of the fact that the cause isn’t identified.

20
Q

how do you manage the O2 on an anaphylactic reaction?

A

100% O2 mask with 10L

if airways completely closed: UN cycle de dégagement

21
Q

could an allergy turn into a rea?

A

yes, REA1 or REA5

22
Q

If you have a REA with epi….. what is the proper sequence in the protocol?

A

epi then intubation

pt. would be unconscious because of edema or choc which can be fixed with EPI!! If doesnt work then combitube to protect airways.

Source:QR2018

23
Q

Est-ce qu’un pt. qui a reçu de l’épi. et que l’allergie est controlé peut être considéré stable et transporté en 10-16? (Source: QR2018)

A

non puisqu’il y a trop de risque de récidive et de nécessiter à nouveau de l’épi.

24
Q

quel est le protocole d’allergie pour les enfants (PED)?

A

PED5