Anaphylaxis and Allergic Reactions
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Questions and Answers

What is the primary effect of low-dose adrenaline in treating anaphylaxis?

  • Degranulation of mast cells
  • Increase in platelet activity
  • Bronchodilation (correct)
  • Vasoconstriction
  • What role does immunoglobulin E (IgE) play in an allergic response?

  • Activates platelet-activating factor
  • Causes vasoconstriction
  • Triggers bronchodilation
  • Binds to mast cells (correct)
  • Which chemical is primarily responsible for increased vascular permeability during an allergic reaction?

  • Histamine (correct)
  • Adrenaline
  • Noradrenaline
  • Prostaglandin D2
  • What effect does higher-dose adrenaline primarily have during anaphylaxis management?

    <p>Increased heart rate (D)</p> Signup and view all the answers

    What is one of the major functions of basophils in the immune response?

    <p>Fight infections/toxins (A)</p> Signup and view all the answers

    What immune cells first bind to allergens in the body?

    <p>Mast cells (D)</p> Signup and view all the answers

    What is released by mast cells that can cause a drop in blood pressure?

    <p>Histamine (A)</p> Signup and view all the answers

    Which chemical mediator increases vascular permeability during anaphylaxis?

    <p>Histamine (C)</p> Signup and view all the answers

    What happens to the airway during anaphylaxis due to histamine release?

    <p>Airway constriction (C)</p> Signup and view all the answers

    Which medication is typically given to counteract the effects of anaphylaxis?

    <p>Adrenaline (D)</p> Signup and view all the answers

    What is one potential consequence of increased vascular permeability during anaphylaxis?

    <p>Swelling and edema (A)</p> Signup and view all the answers

    What condition is characterized by persistent respiratory and cardiovascular issues despite receiving adrenaline?

    <p>Refractory anaphylaxis (A)</p> Signup and view all the answers

    Which is a prominent effect of Prostaglandin D2 during inflammation?

    <p>Bronchoconstriction (A)</p> Signup and view all the answers

    What is the primary cause of anaphylaxis?

    <p>Genetic predisposition and environmental factors (D)</p> Signup and view all the answers

    Which of the following best describes angioedema?

    <p>Swelling under the skin surface (C)</p> Signup and view all the answers

    What characterizes a Grade 3 anaphylaxis reaction?

    <p>Severe respiratory or cardiovascular symptoms (D)</p> Signup and view all the answers

    How do allergic reactions typically present in terms of timing?

    <p>Immediate, occurring within minutes of exposure (C)</p> Signup and view all the answers

    What differentiates an intolerance from an allergy?

    <p>Intolerance reactions are usually delayed and not life-threatening (B)</p> Signup and view all the answers

    What does the production of immunoglobulin E (IgE) indicate during an allergic reaction?

    <p>Immune system's recognition of an allergen as a threat (B)</p> Signup and view all the answers

    Which symptom is NOT associated with skin reactions in anaphylaxis?

    <p>Gasping (C)</p> Signup and view all the answers

    What is a common symptom of Grade 2 (b) anaphylaxis?

    <p>Vomiting and diarrhea (D)</p> Signup and view all the answers

    Study Notes

    Anaphylaxis

    • Life-threatening allergic reaction affecting airway, breathing, circulation, and skin
    • Hypersensitivity reaction
    • Some people are more susceptible due to certain genes or environmental factors

    Slide 4 (Meanings of words)

    • Urticaria (hives): Red, itchy bumps with rash
    • Angioedema: Swelling under the skin surface
    • Objective Dyspnea: Gasping, increased respiratory rate, decreased oxygen saturation, use of accessory muscles

    Grades of Reaction

    • Grade 1: Local reaction on the skin, no change in vital signs
    • Grade 2 (a/b): Mild/moderate, skin or gastrointestinal tract involvement (e.g., vomiting, diarrhea)
    • Grade 3 (a/b): Severe, respiratory or cardiovascular involvement (e.g., low blood pressure, rapid heart rate)
    • Grade 3C: Severe, respiratory arrest and/or cardiovascular arrest

    Intolerances and Allergies

    • Intolerance and allergy are sometimes used interchangeably
    • Intolerance is an adverse reaction to a substance (e.g., food group, lactose, gluten)
    • Symptoms of intolerance can be unpleasant and severe but are not life-threatening
    • Reactions to intolerances are usually delayed, occurring several hours or up to several days after ingestion

    Pathophysiology of Anaphylaxis

    • Exposure to allergen triggers a response
    • B-lymphocytes produce antibodies (IgE) upon initial exposure
    • IgE binds to mast cells and basophils
    • Subsequent allergen exposure causes mast cell degranulation, releasing chemical mediators
    • Chemical mediators (e.g., histamine, PAF) cause symptoms like vasodilation, bronchoconstriction, etc.
    • Mast cells also produce prostaglandin D2 which can lead to bronchoconstriction and vasodilation

    Refractory Anaphylaxis

    • Occurs when two doses of intramuscular adrenaline are given, but respiratory and cardiovascular problems persist

    Adrenaline

    • The beta effect helps restore blood pressure (BPM)
    • The alpha effect acts on blood vessels
    • Immunoglobulin E (IgE)
    • Mast cells
    • Degranulation
    • Histamine
    • Platelet-activating factor (PAF)
    • Vascular permeability
    • Prostaglandin D2
    • Basophils

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    Description

    This quiz covers the critical aspects of anaphylaxis, including its symptoms, grades of reaction, and the differences between intolerances and allergies. Learn about the life-threatening effects of this hypersensitivity reaction and key terms related to allergic responses. Test your knowledge on identifying and managing allergic reactions effectively.

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