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    Exercise No 7 - Penicillin G Skin Testing

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    Penicillin G sodium is used for skin testing in the philippines. If a skin test is positive, it is considered positive. There is only one rapidly effective treatment for anaphylaxis - epinephrine by injection. Treatment for shock includes intravenous fluids and medicines that support the actions of the heart and circulatory system.

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    Exercise No 7 - Penicillin G Skin Testing

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    Penicillin G sodium is used for skin testing in the philippines. If a skin test is positive, it is considered positive. There is only one rapidly effective treatment for anaphylaxis - epinephrine by injection. Treatment for shock includes intravenous fluids and medicines that support the actions of the heart and circulatory system.

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    Penicillin G sodium is used for skin testing in the philippines. If a skin test is positive, it is considered positive. There is only one rapidly effective treatment for anaphylaxis - epinephrine by injection. Treatment for shock includes intravenous fluids and medicines that support the actions of the heart and circulatory system.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Exercise No 7 - Penicillin G Skin Testing

    Uploaded by

    pharmaebooks
    Penicillin G sodium is used for skin testing in the philippines. If a skin test is positive, it is considered positive. There is only one rapidly effective treatment for anaphylaxis - epinephrine by injection. Treatment for shock includes intravenous fluids and medicines that support the actions of the heart and circulatory system.

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    Name: RAFAEL, DUNE VIENIS KAREN N.

    Year & Section: BS-


    Pharmacy 4A
    Group No.: ______________________ Date Started: November
    27, 2009
    Date Submitted: December 07,
    2009

    Exercise No. 07
    PREPARATION OF PENICILLIN G SKIN TESTING

    I. Objectives:
    i. To prepare Penicillin G sodium for skin testing,
    ii. To identify the possible skin reactions in positive skin testing,
    and
    iii. To enumerate the measures in managing anaphylactic shock
    during skin testing.

    I. Data Output:
    Labeling:

    Saint Luke’s Hospital


    Father Selga Street, Davao City
    Patient’s Name: Robert John R. Rafael Age: 23 Sex: Male
    Attending Physician: J. Noveno, MD. Room No.: 47

    Penicillin G
    120 units/ 0.02 ml solution for Skin Testing

    Prepared by: Dune Rafael, RPh


    Pharmacist

    II. Answers to Questions:


    1. If the patient has mentioned in the medication history about allergy to
    penicillin, what are the ways to be done if the doctor has accidentally
    prescribed penicillin?

    One way is to inform the physician that the patient is allergic to


    penicillin. By that way, the physician could prescribe another drug.

    2. How is a positive skin test translated?

    Intradermal skin testing consisted of intradermal injection of


    approximately 0.02 mL of the antigens and control solutions into
    sequential, premarked skin sites. The test results were considered positive
    if a wheal and flare reaction larger than that of the negative control was
    present during prick or intradermal testing either for BPP or penicillin G.
    The total time required to perform the test is approximately 30 min.
    Patients who were receiving histamine-2 blockers had the medication held
    at least 4 h before the skin test [Medscape].

    3. What are some methods done if the patients suddenly have anaphylactic
    shock while performing skin test?
    There is only one rapidly effective treatment for anaphylaxis –
    epinephrine by injection. Epinephrine is adrenaline and it rapidly reverses
    anaphylactic symptoms. It is typically given through an automatic
    injection device. The most common injection site is the thigh [WebMD,
    2009].

    In addition to epinephrine, treatment for shock includes


    intravenous fluids and medicines that support the actions of the heart
    and circulatory system. After a person in shock is stabilized,
    antihistamines and steroids may be given to further reduce symptoms
    [WebMD, 2009].

    I. Conclusion
    Penicillin skin testing is an accurate method to determine whether
    a person with a history of penicillin allergy is at risk of having an
    immediate reaction to penicillin. A patient with a negative reaction to a
    skin test may be able to use a penicillin compound safely, which could
    reduce the use of broad-spectrum antibiotics in this patient population.

    II. Bibliography

    Medscape. (n.d.). A pilot Study of Penicillin Skin Testing: Materials and Methods.
    Retrieved December 5, 2009, from Medscape.com:
    http://www.medscape.com/viewarticle/405960_2

    WebMD. (2009, February 05). Allergies and Anaphylaxis. Retrieved December 05,
    2009, from WebMD.com: http://www.webmd.com/allergies/guide/anaphylaxis

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