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    ANAPHYLAXIS (Part II) - ESPUERTA

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    joyrena ochondra
    This document discusses anaphylaxis including prevention, medical management, and nursing management. Prevention focuses on avoiding allergens and carrying epinephrine. Medical management includes administering epinephrine, oxygen, antihistamines, corticosteroids, fluids, and vasopressors depending on symptoms. Nursing management involves assessing symptoms, notifying doctors, preparing for emergency measures, documenting interventions and recovery, and educating patients about avoiding triggers and using epinephrine.

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    ANAPHYLAXIS (Part II) - ESPUERTA

    Uploaded by

    joyrena ochondra
    22 views5 pages
    This document discusses anaphylaxis including prevention, medical management, and nursing management. Prevention focuses on avoiding allergens and carrying epinephrine. Medical management includes administering epinephrine, oxygen, antihistamines, corticosteroids, fluids, and vasopressors depending on symptoms. Nursing management involves assessing symptoms, notifying doctors, preparing for emergency measures, documenting interventions and recovery, and educating patients about avoiding triggers and using epinephrine.

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    This document discusses anaphylaxis including prevention, medical management, and nursing management. Prevention focuses on avoiding allergens and carrying epinephrine. Medical management includes administering epinephrine, oxygen, antihistamines, corticosteroids, fluids, and vasopressors depending on symptoms. Nursing management involves assessing symptoms, notifying doctors, preparing for emergency measures, documenting interventions and recovery, and educating patients about avoiding triggers and using epinephrine.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    22 views5 pages

    ANAPHYLAXIS (Part II) - ESPUERTA

    Uploaded by

    joyrena ochondra
    This document discusses anaphylaxis including prevention, medical management, and nursing management. Prevention focuses on avoiding allergens and carrying epinephrine. Medical management includes administering epinephrine, oxygen, antihistamines, corticosteroids, fluids, and vasopressors depending on symptoms. Nursing management involves assessing symptoms, notifying doctors, preparing for emergency measures, documenting interventions and recovery, and educating patients about avoiding triggers and using epinephrine.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 5

    ANAPHYLAXIS

    o Prevention
    o Medical Management
    o Nursing Management

    MARYROSS M. ESPUERTA
    BSN-III
    Prevention
     The EpiPen from Dey Pharmaceuticals is a
     Strict avoidance of potential allergens
    commercially available first-aid device that delivers
     Insects stings should avoid areas populated by insects premeasured doses of :
    and should use appropriate clothing, insect repellent, and  0.3 mg (Epipen)
    caution to avoid further stings.
     0.15 mg (Epipen Jr.) of epinephrine.
     People sensitive to insect bites and stings, experienced
     People who are allergic to insect venom may require
    food or medication reactions, latex and experienced
    venom immunotherapy, which is used as a control
    idiopathic or exercise induced anaphylactic reactions
    measure and not a cure. Immunotherapy is very
    should always carry an emergency kit that contains
    effective in reducing the risk of anaphylaxis from
    epinephrine.
    future stings (Neugut et al., 2001).
     Administration of epinephrine is a critical measure to  Insulin-allergic diabetic patients and penicillin-
    prevent an anaphylactic reaction. sensitive patients may require desensitization.
    Medical Management
     If the patient is in cardiac arrest, cardiopulmonary  To maintain blood pressure and normal hemodynamic
    resuscitation is instituted. status, IV flu- ids (ie, normal saline solution), volume
    expanders, and vasopressor agents are given.
     Oxygen is provided in high concentrations during
    cardiopulmonary resuscitation or when the patient is  In patients with episodes of bronchospasm or a history of
    cyanotic, dyspneic, or wheezing. bronchial asthma or chronic obstructive pulmonary disease,
    aminophylline and corticosteroids may also be
     Epinephrine, in a 1 : 1,000 dilution, is ad- ministered administered to improve airway patency and function.
    subcutaneously in the upper extremity or thigh and may
     If hypotension is unresponsive to vasopressors,
    be followed by a continuous intravenous infusion.
    intravenous glucagon may be given for its acute inotropic
     Antihistamines and corticosteroids may also be given and chronotropic effects.
    to prevent recurrences of the reaction and to treat
     Patients with severe reactions are observed closely for 12
    urticaria and angioedema.
    to 14 hours.
    Nursing Management
     If patient is experiencing an allergic response, the nurse’s initial action is to assess the patient for
    signs and symptoms of anaphylaxis.
     ⚠️The nurse assesses the airway, breathing pattern, and other vital signs. The patient is observed
    for signs of increasing edema and respiratory distress.
     ⚠️Prompt notification of the physician and preparation for initiation of emergency measures
    (intubation, administration of emergency medications, insertion of intra- venous lines, fluid
    administration, oxygen administration) are important to reduce the severity of the reaction and to
    restore cardiovascular function.
     ⚠️The nurse documents the interventions used and the patient’s response to treatment, vital signs,
    and laboratory values.
    Nursing Management
     The patient who has recovered from anaphylaxis needs an explanation of what occurred
    and instruction about avoiding future exposure to antigens and administering emergency
    medications to treat anaphylaxis.
     The patient must be instructed about antigens that should be avoided and about other
    strategies to prevent recurrence of anaphylaxis.
     All patients who have experienced an anaphylactic reaction should receive a prescription for
    preloaded syringes of epinephrine.
     The nurse instructs the patient and family in their use and has the patient and family
    demonstrate correct

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