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    Anaphylaxis

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    Lidya Yudith
    This document provides a treatment algorithm for anaphylaxis in adults with three main steps: 1. Diagnose anaphylaxis based on acute onset of symptoms like airway/breathing problems, circulation issues, and skin changes. Call for help and place the patient in a lying down position. 2. Administer adrenaline through intramuscular injection unless experienced giving intravenous injections. Additional treatments include high flow oxygen, IV fluids, antihistamines, and steroids. 3. Monitor the patient's vitals including pulse oximetry, ECG, and blood pressure when equipment and skills allow. Adjust treatments based on the patient's age and response.

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    Anaphylaxis

    Uploaded by

    Lidya Yudith
    84 views1 page
    This document provides a treatment algorithm for anaphylaxis in adults with three main steps: 1. Diagnose anaphylaxis based on acute onset of symptoms like airway/breathing problems, circulation issues, and skin changes. Call for help and place the patient in a lying down position. 2. Administer adrenaline through intramuscular injection unless experienced giving intravenous injections. Additional treatments include high flow oxygen, IV fluids, antihistamines, and steroids. 3. Monitor the patient's vitals including pulse oximetry, ECG, and blood pressure when equipment and skills allow. Adjust treatments based on the patient's age and response.

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    Treatment algorithm for adults with analphylaxis

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    This document provides a treatment algorithm for anaphylaxis in adults with three main steps: 1. Diagnose anaphylaxis based on acute onset of symptoms like airway/breathing problems, circulation issues, and skin changes. Call for help and place the patient in a lying down position. 2. Administer adrenaline through intramuscular injection unless experienced giving intravenous injections. Additional treatments include high flow oxygen, IV fluids, antihistamines, and steroids. 3. Monitor the patient's vitals including pulse oximetry, ECG, and blood pressure when equipment and skills allow. Adjust treatments based on the patient's age and response.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    84 views1 page

    Anaphylaxis

    Uploaded by

    Lidya Yudith
    This document provides a treatment algorithm for anaphylaxis in adults with three main steps: 1. Diagnose anaphylaxis based on acute onset of symptoms like airway/breathing problems, circulation issues, and skin changes. Call for help and place the patient in a lying down position. 2. Administer adrenaline through intramuscular injection unless experienced giving intravenous injections. Additional treatments include high flow oxygen, IV fluids, antihistamines, and steroids. 3. Monitor the patient's vitals including pulse oximetry, ECG, and blood pressure when equipment and skills allow. Adjust treatments based on the patient's age and response.

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    44

    CHAPTER 2

    Life-threatening emergencies

    Treatment algorithm for adults with


    anaphylaxis1
    Anaphylactic reaction?
    Airway, Breathing, Circulation, Disability, Exposure
    Diagnosis - look for:
    Acute onset of illness
    Life-threatening airway and/or breathing
    and/or circulation problems1
    And usually skin changes
    Call for help
    Lie patient flat
    Raise patients legs
    Adrenaline2

    When skills and equipment available:


    Establish airway
    High flow oxygen
    Monitor:
    IV fluid challenge3
    Pulse oximetry
    Chlorphenamine4
    ECG
    Hydrocortisone5
    Blood pressure

    1 Life-threatening problems:
    Airway:
    Swelling, hoarseness, stridor
    Breathing:
    Rapid breathing, wheeze, fatigue, cyanosis, SpO2 < 92%, confusion
    Circulation: Pale, clammy, low blood pressure, faintness, drowsy/coma
    2 Adrenaline (give IM unless experienced with IV adrenaline)
    IM doses of 1:1000 adrenaline (repeat after 5 min if no better)
    Adult:
    500 micrograms IM (0.5 mL)
    Child more than 12 years: 500 micrograms IM (0.5 mL)
    Child 612 years:
    300 micrograms IM (0.3 mL)
    Child less than 6 years: 150 micrograms IM (0.15 mL)
    Adrenaline IV to be given only by experienced specialists
    Titrate: Adults 50 micrograms; Children 1 microgram/kg

    Adult or child more than 12 years


    Child 612 years
    Child 6 months to 6 years
    Child less than 6 months
    See also:

    3 IV fluid challenge:
    Adult - 5001000 mL
    Child - crystalloid 20 mL/kg
    Stop IV colloid
    if this might be the cause
    of anaphylaxis

    4 Chlorphenamine
    (IM or slow IV)
    10 mg
    5 mg
    2.5 mg
    250 micrograms/kg

    Anaphylactic reactions Initial treatment

    Fig. 2.1 Anaphylaxis algorithm.


    1 Resuscitation Council (UK) guidelines, 2008. See: www.resus.org.uk

    5 Hydrocortisone
    (IM or slow IV)
    200 mg
    100 mg
    50 mg
    25 mg

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