Anaphylaxis

Question 1

signs/symptoms

Answer 1

1. sudden and rapid progression of symptoms
2. possible airway, breathing, circulation involvement
3. skin and mucosal changes - flushing, urticaria, angioedema

Question 2

A

Answer 2

stridor, wheezing or occluded airway

Question 3

B

Answer 3

high resp rate
low SpO2
short of breath

Question 4

C

Answer 4

hypotension
tachycardia
raised CRT

Question 5

D

Answer 5

alert but distressed on ACVPU
impending sense of doom
blood glucose not applicable

Question 6

E

Answer 6

angioedema
urticarial rash
flushed
nausea/vomiting
urinary/bowel incontinence
LOC

Question 7

managing anaphylaxis

Answer 7

1. remove source if known
2. phone 999
3. administer 1:1000 adrenaline IM anterolateral thigh 0.5mg (1mg/ml) - if pt has autoinjector use this first
4. give O2 15L/min NRB mask
   pt supine to restore BP or in comfy position to aid breathing
5. repeat adrenaline every 5 mins as required
6. reassure pt until ambulance arrives

Question 8

adrenaline dose for:
6months-5yrs
6-11yrs
12-17yrs

Answer 8

0.15mg
0.3mg
0.5mg
all given IM