Anaphylaxis Management | Cheat Sheet - Edubirdie

University:
Western Sydney University
Course:
MEDI 3003 | Applied Clinical Sciences
Academic year:

2024
Views:

434

Pages:

1
Author:

Mariam A. A.

Basics * IgE-mediated - Precipitants: - drugs (eg penicillin, contrast media, in radiology) - stings, eggs, fish, peanuts, shellfish, semen (rare) Mimics of Anaphylaxis * Carcinoid syndrome * Pheochromocytoma * systemic mastocytosis * hereditary angioedema Step-wise Management * Secure airway, give 100% oxygen - if airway obstruction is present - intubate * Remove the cause, raise legs to help restore circulation * Adrenaline: - dose: 0.3 mg - repeat as needed - by BP, pulse, resp until better * Secure IV access * Chlorphenamine 10 mg * Hydrocortisone 200 mg IV - if there is wheeze, Tiotropium 10 mcg * If still HOTN, admit to ICU, IV adrenaline may be needed & aminophylline or nebulized salbutamol * Call senior help Further Management * Admit to ward, monitor ECG * Measure mast cell tryptase 1-6 hrs after suspected anaphylaxis * Continue chlorphenamine 4 mg/6 hrs if itching * Teach about self-injected adrenaline (e.g., 0.3 mg EpiPen) to prevent fatal attacks * Skin-prick test showing specific IgE to help identify what allergen to avoid

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