Clinical Notes : Resuscitation

9. Anaphylaxis 

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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

Guidelines for the Assessment and Management of Anaphylaxis

The World Allergy Organization (WAO)

2015

Access

 

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