Unit 3: 3 Anaphylaxis Assessment History Quiz
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Questions and Answers

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?

    <p>Wear a medical identification bracelet</p> Signup and view all the answers

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

    <p>Instructions on trigger identification and avoidance</p> Signup and view all the answers

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

    <p>To provide a premeasured epinephrine dose in case of reaction</p> 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?

    <p>0.1 mg</p> Signup and view all the answers

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

    <p>0.3 mg</p> Signup and view all the answers

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

    <p>Allowed with a proper consent and prescription</p> Signup and view all the answers

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

    <p>Cat fur</p> Signup and view all the answers

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

    <p>Peripheral vasodilation</p> Signup and view all the answers

    Which factor released during anaphylaxis results in bronchoconstriction?

    <p>Leukotriene</p> Signup and view all the answers

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

    <p>Hypoxemia</p> Signup and view all the answers

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

    <p>Pollen</p> Signup and view all the answers

    What role does immunoglobulin E play in an anaphylactic reaction?

    <p>Triggers mast cell activation</p> Signup and view all the answers

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

    <p>Bronchoconstriction</p> Signup and view all the answers

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

    <p>Insect venom</p> Signup and view all the answers

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

    <p>Morphine</p> Signup and view all the answers

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

    <p>They can happen up to 10 to 12 hours after exposure</p> Signup and view all the answers

    How do protracted reactions differ from uniphasic or biphasic reactions?

    <p>They can last from 24 to rarely 72 hours</p> 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?

    <p>Occupational history</p> Signup and view all the answers

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

    <p>Syncope</p> Signup and view all the answers

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

    <p>Chest pain</p> Signup and view all the answers

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

    <p>Mast cell activation</p> Signup and view all the answers

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

    <p>Arterial blood gases analysis</p> Signup and view all the answers

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

    <p>Seizure</p> Signup and view all the answers

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

    <p>Edema of extremities</p> Signup and view all the answers

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

    <p>Respiratory compromise</p> Signup and view all the answers

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

    <p>To assess for hypoglycemia</p> Signup and view all the answers

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

    <p>Hypothyroidism</p> Signup and view all the answers

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

    <p>Clinical presentation and history</p> Signup and view all the answers

    Which statement regarding diagnostics during an anaphylactic event is TRUE?

    <p>Electrocardiography can be used to monitor pulmonary status.</p> 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?

    <p>1 mg</p> Signup and view all the answers

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

    <p>Vastus lateralis</p> Signup and view all the answers

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

    <p>Use inhaled β2 agonists</p> Signup and view all the answers

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

    <p>They have a delayed onset of action</p> Signup and view all the answers

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

    <p>Immediately</p> Signup and view all the answers

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

    <p>0.1 mg/kg</p> Signup and view all the answers

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

    <p>Glucagon</p> Signup and view all the answers

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