Unit 3: 3 Anaphylaxis Assessment History Quiz

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What is the recommended route of administration for aqueous epinephrine in an adult suspected of anaphylaxis?

Intranasal

Intravenous

Intramuscularly in the anterolateral aspect of the mid-thigh (correct)

Subcutaneous

How quickly may reactions to the offending allergen occur in an anaphylactic reaction?

Within months

Within hours

Within minutes (correct)

Within weeks

What are the organ systems commonly affected during a manifestation of an anaphylactic reaction?

Urinary and endocrine systems

Musculoskeletal and immune systems

Reproductive and lymphatic systems

Respiratory and integumentary systems (correct)

What is recommended for individuals who have experienced anaphylaxis or are at risk?

Wear a medical identification bracelet (C) Signup and view all the answers

What should be provided concerning reading food labels for individuals at risk?

Instructions on trigger identification and avoidance (C) Signup and view all the answers

Why is it crucial for individuals with allergen sensitivity to have epinephrine auto-injectors?

To provide a premeasured epinephrine dose in case of reaction (C) Signup and view all the answers

What is the recommended dose of an epinephrine auto-injector for infants and young children weighing less than 25 kg?

0.1 mg (D) Signup and view all the answers

What is the appropriate epinephrine auto-injector dose for children weighing between 25 and 30 kg?

0.3 mg (A) Signup and view all the answers

What is the recommendation regarding children self-carrying epinephrine auto-injectors in schools and camps?

Allowed with a proper consent and prescription (A) Signup and view all the answers

Which type of allergen is NOT listed as a common offending allergen for anaphylaxis?

Cat fur (C) Signup and view all the answers

What physiological effect does the release of histamine have during an anaphylactic reaction?

Peripheral vasodilation (B) Signup and view all the answers

Which factor released during anaphylaxis results in bronchoconstriction?

Leukotriene (A) Signup and view all the answers

What is a possible life-threatening consequence of an anaphylactic reaction according to the text?

Hypoxemia (C) Signup and view all the answers

Which allergen is NOT listed under the potential Anaphylaxis-Inducing Allergens in the text?

Pollen (D) Signup and view all the answers

What role does immunoglobulin E play in an anaphylactic reaction?

Triggers mast cell activation (A) Signup and view all the answers

Which of the following is a systemic effect of histamine release during an anaphylactic reaction?

Bronchoconstriction (B) Signup and view all the answers

What type of allergen can cause angioedema, according to the text?

Insect venom (D) Signup and view all the answers

Which substance is NOT listed as a potential drug allergen that can induce anaphylaxis?

Morphine (B) Signup and view all the answers

What is a characteristic of uniphasic and biphasic reactions during anaphylaxis?

They can happen up to 10 to 12 hours after exposure (B) Signup and view all the answers

How do protracted reactions differ from uniphasic or biphasic reactions?

They can last from 24 to rarely 72 hours (D) Signup and view all the answers

Which of the following is NOT mentioned as part of the information that should be obtained from a patient during an anaphylactic event?

Occupational history (D) Signup and view all the answers

What is a common physical finding related to the cardiovascular system in an individual experiencing an anaphylactic reaction?

Syncope (C) Signup and view all the answers

Which of the following is NOT a symptom commonly associated with pulmonary manifestations in an anaphylactic reaction?

Chest pain (D) Signup and view all the answers

What can elevated serum tryptase levels indicate in the context of an anaphylactic event?

Mast cell activation (B) Signup and view all the answers

Which diagnostic tool is recommended to exclude a pulmonary embolism during an anaphylactic event?

Arterial blood gases analysis (A) Signup and view all the answers

What is a common central nervous system manifestation that can occur during an anaphylactic reaction?

Seizure (C) Signup and view all the answers

Which of the following is NOT commonly associated with cutaneous manifestations in an anaphylactic reaction?

Edema of extremities (C) Signup and view all the answers

What can chest radiograph help detect in patients with underlying pathologic processes during an anaphylactic event?

Respiratory compromise (C) Signup and view all the answers

What is the benefit of monitoring serum glucose levels during an anaphylactic event?

To assess for hypoglycemia (C) Signup and view all the answers

Which of the following options is NOT commonly considered in the differential diagnosis of anaphylaxis?

Hypothyroidism (C) Signup and view all the answers

What should a clinician consider when differentiating between inflammatory mediators causing coronary artery spasms and myocardial infarction?

Clinical presentation and history (D) Signup and view all the answers

Which statement regarding diagnostics during an anaphylactic event is TRUE?

Electrocardiography can be used to monitor pulmonary status. (D) Signup and view all the answers

What is the maximum dose of aqueous epinephrine that can be administered intramuscularly to adults in an anaphylactic event?

1 mg (A) Signup and view all the answers

Which muscle site is preferred for the intramuscular injection of epinephrine in children and infants?

Vastus lateralis (A) Signup and view all the answers

What should be done if respiratory symptoms persist after the administration of epinephrine in an anaphylactic reaction?

Use inhaled β2 agonists (B) Signup and view all the answers

Why are H1 and H2 antagonists not recommended as first-line treatment in anaphylaxis?

They have a delayed onset of action (B) Signup and view all the answers

When should individuals experiencing an anaphylactic event be transported to an emergency facility?

Immediately (A) Signup and view all the answers

What is the recommended initial dose of diphenhydramine for children experiencing an anaphylactic reaction?

0.1 mg/kg (D) Signup and view all the answers

Which medication should be considered for individuals who experience alterations in epinephrine effect due to β blocker use?

Glucagon (B) Signup and view all the answers