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Published byErik Small Modified over 8 years ago
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Anaphylaxis Be Prepared not Panicked Karen Andrews MD
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Successful management of Anaphylaxis Understand what is happens during an anaphylactic reaction Risk factors for fatal anaphylaxis Signs and symptoms of anaphylaxis Feel comfortable using epinephrine
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What Happens in an Allergic Reaction
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Fatal Anaphylaxis Triggers #1 Medications- older adults #2 Foods- cows milk in younger children, peanuts and tree nuts in young adults/adolescents #3 Insect stings-older adults Other: latex, parasites
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Characteristics Fatalities occur within 60 minutes in most cases Dose 1gm of a nut versus 10gm of other foods Respiratory arrest in food allergy reactions Cardiovascular collapse in venom and medication reactions
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Factors that Can Influence Severity Dose of allergen Other illness ie fever, asthma exacerbation Medications – Beta blockers, ACE inhibitors, aspirin, ibuprofen Exercise Alcohol Hormones
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Risk Factors for Fatal Anaphylaxis Asthma Delayed or No Epinephrine Upright posture Misdiagnosis Carelessness about avoidance
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Signs and Symptoms
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Recognizing Anaphylaxis in Infants
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Anaphylaxis can be confused with: Asthma Choking Panic attack & Anxiety Fainting Heart attack Seizure, Stroke Scromboidosis
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Diagnostic Criteria for Anaphylaxis
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Prevention of Fatal Reactions Train Practice- monthly Carry injectable epinephrine Educate others
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Treatment of Anaphylaxis Epinephrine, Epinephrine, Epinephrine Lay Down ABC’s & Activate EMS Other medications that can be given – H1 Blocker ie Zyrtec or Benadryl – H2 Blocker ie ranitidine – Rescue inhalers – Steroids
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Post Anaphylaxis Care Be aware of biphasic anaphylaxis Continue oral steroid and anti-histamine for at least 48 hours after the reaction Refill injectable epinephrine
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