Clinical Notes : Resuscitation

9. Anaphylaxis 

Angiodema

Anaphylaxis

Treatment

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Angiodema

Skin or mucosal changes (flushing ,lip swelling or urticaria) without  ABC problems,

Anaphylaxis

• Sudden onset and rapid progression of symptoms

• Angiodema AND

• Life threatening problems:

  • Airway : swelling, hoarse voice, stridor

  • Breathing :  shortness of breath, wheeze,

  • Circulation : pale, clammy, hypotension,

Treatment

• Call for help

• Lie patient flat and raise legs

• Use adrenaline early

  • Give IM (safer and easier)

  • Repeat after 5 min. if no better

• Admit to hospital for

  • Monitoring (due to the risk of “biphasic delayed recurrence")

  • Only use antihistamines and hydrocortisone after initial resuscitation

  • Consider nebulised beta agonist if wheezy

Anaphylaxis

American Academy of Allergy Asthma and Immunology.

2019

​Access

Emergency Treatment of Anaphylactic Reactions

Resuscitation Council UK

2019

​Access

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Guidelines for the Assessment and Management of Anaphylaxis

The World Allergy Organization (WAO)

2015

​Access

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