M - 3 - Allergic Reaction & Anaphylaxis - Adult & Pediatric Flashcards Preview

Sedgwick County EMS Protocols > M - 3 - Allergic Reaction & Anaphylaxis - Adult & Pediatric > Flashcards

Flashcards in M - 3 - Allergic Reaction & Anaphylaxis - Adult & Pediatric Deck (13):
1

In the allergic reaction/anaphylactic patient, oxygen should be given to maintain an SpO2 greater than 94% or to combat _____.

air hunger

2

Describe allergic reaction S/S vs. extremis vs. anaphyaxis

*do a Venn Diagram*

Allergic reaction: gradual onset; mild flushing, rash, hives; mild bronchoconstriction, normal mental status

Anaphylaxis S/S: rapid onset; severe flushing, rash, hives; severe bronchoconstriction; laryngospasm; anxiety, LOC/unconscious

Extremis S/S: rapid onset; peri-arrest state, unable to speak, tachypnea, hypotension

3

True anaphylaxis/extremis requires what medication as a first line drug?

0.5 mg 1:1000 epinephrine IM
- Class: sympathomimetic
- MOA: bronchodilation via beta-1 effects; vasoconstriction via alpha-2 effects; increased inotropy via beta-1

4

For dyspnea/bronchoconstriction, ___ albuterol and ____ ipratropium nebulized is administered.

A. 3 mg; 0.5 mg
B. 6 mg; 1 mg
B. 9 mg, 1.5 mg

B. 6 mg; 1 mg

5

What medication (and dose) is given to prevent the effect of histamine release in the allergic reaction/anaphylaxis patient?

Diphenhydramine
- Class: anticholinergic
- MOA:

6

Non-geriatric adult diphenhydramine IV dose for allergic reaction/anaphylaxis.

A. 12.5 mg
B. 25 mg
C. 50 mg
D. 100 mg

C. 50 mg

7

Non-geriatric adult diphenhydramine IM dose for allergic reaction/anaphylaxis.

A. 12.5 mg
B. 25 mg
C. 50 mg
D. 100 mg

C. 50 mg

8

Geriatric adult diphenhydramine IM dose for allergic reaction/anaphylaxis.

A. 12.5 mg
B. 25 mg
C. 50 mg
D. 100 mg

B. 25 mg

9

Geriatric adult diphenhydramine IV dose for allergic reaction/anaphylaxis.

A. 12.5 mg
B. 25 mg
C. 50 mg
D. 100 mg

A. 12.5 mg

10

Adult Solumedrol IV for all weights in anaphylaxis/allergic reaction.

125 mg

11

Adult Prednisone PO for all weights in anaphylaxis/allergic reaction.

60 mg

12

In the case of adult anaphylaxis/extremis patients with hypotension, what is given to combat hypotension?

2L NS unless geriatric.
Geriatric - 1 L NS (monitor for pulmonary edema)

13

What is the NS dose for pediatric hypotension in the presence of allergy/anaphylaxis?

A. 10 mL/kg
B. 20 mL/kg
C. 30 mL/kg

B. 20 mL/kg