Chapter 21: Allergic Reactions
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Questions and Answers

Which of the following symptoms would indicate potential respiratory distress in a patient experiencing an allergic reaction?

  • Increased heart rate
  • Runny nose
  • Tightness in the throat (correct)
  • Sense of impending doom

What general finding would NOT typically be associated with an allergic reaction?

  • Chest pain (correct)
  • Wheezing
  • Decreased blood pressure
  • Hoarseness

Which sign might suggest that a patient is experiencing shock related to an allergic reaction?

  • Decreased heart rate
  • Increased blood pressure
  • Increased respiratory rate
  • Decreased blood pressure (correct)

What symptom might lead a healthcare provider to suspect a severe allergic reaction?

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

Which of the following is a classic respiratory sign of an allergic reaction?

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

What psychological symptom might a patient with an allergic reaction report?

<p>Sense of impending doom (B)</p> Signup and view all the answers

What is the term used for a severe allergic reaction?

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

What is one of the primary indicators that could necessitate the administration of epinephrine?

<p>Initial assessment findings (B)</p> Signup and view all the answers

Which of the following is considered an allergen?

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

In an allergic reaction, which vital sign changes may occur?

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

What symptom is NOT typically associated with allergic reactions?

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

Which symptom is least likely to be reported by a patient experiencing an allergic reaction?

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

Which symptom indicates a possible allergic reaction that requires immediate airway management?

<p>Swelling of the tongue (B)</p> Signup and view all the answers

Which of the following conditions could complicate an allergic reaction?

<p>Decreasing mental status (B)</p> Signup and view all the answers

In cases of allergic reactions, what is the first step in emergency care?

<p>Manage the patient’s airway (C)</p> Signup and view all the answers

Which of the following categories of substances typically does NOT cause allergic reactions?

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

What is a common sign of an allergic reaction that may manifest on the skin?

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

Which of the following statements about allergic reactions is true?

<p>They represent exaggerated immune responses. (B)</p> Signup and view all the answers

What is a typical initial treatment for managing an allergic reaction?

<p>Administration of adrenaline (B)</p> Signup and view all the answers

What symptom is often experienced in the respiratory system during an allergic reaction?

<p>Chest tightness (B)</p> Signup and view all the answers

What is the primary goal when a patient has an epinephrine auto-injector and is experiencing a severe allergic reaction?

<p>To rapidly administer the medication (C)</p> Signup and view all the answers

Which of the following is NOT a serious sign that indicates the need for immediate administration of epinephrine?

<p>Chronic cough (B)</p> Signup and view all the answers

What should be assessed before administering an epinephrine auto-injector?

<p>The presence of respiratory distress and hypoperfusion (A)</p> Signup and view all the answers

Which of the following actions is recommended if a patient does not have an epinephrine autoinjector and is experiencing a severe allergic reaction?

<p>Transport the patient immediately (D)</p> Signup and view all the answers

What is the mechanism of action of epinephrine in treating allergic reactions?

<p>Dilation of bronchioles and constriction of blood vessels (B)</p> Signup and view all the answers

What is the typical adult dosage for an epinephrine auto-injector?

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

Which of the following side effects could a patient experience after receiving epinephrine?

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

What is the first step to take when assessing a patient with a suspected allergic reaction?

<p>Perform a focused history and physical examination (D)</p> Signup and view all the answers

When is the use of epinephrine contraindicated?

<p>There are no contraindications in an emergency (B)</p> Signup and view all the answers

Which of these constitutes a SAMPLE history assessment in an allergic reaction scenario?

<p>Signs, Allergies, Medication, Past medical history, Events leading to issue (D)</p> Signup and view all the answers

Flashcards

Allergic Reaction

An exaggerated immune response to a substance.

Anaphylaxis

A severe allergic reaction.

Allergen

A substance that triggers an allergic reaction.

Skin Signs

Warmth, tingling, hives, redness, and swelling are common skin symptoms of allergies.

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Respiratory Signs

Respiratory symptoms include difficulty breathing and tightness in the chest.

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Assessment

Evaluating the patient's condition.

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Airway Management

Carefully managing and supporting a patient's breathing.

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High-flow Oxygen

Providing a high concentration of oxygen to patients having trouble breathing.

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Medication Administration

Correctly and safely giving medications to a patient.

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Causes of Allergic Reactions

Various substances, like insect bites, foods, plants and medications, potentially leading to allergic reactions.

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Symptoms of Allergic Reaction

Symptoms of an allergic reaction include tightness in the throat and chest, coughing, rapid breathing, labored breathing, noisy breathing, hoarseness, stridor, wheezing, itchy watery eyes, headache, sense of impending doom, runny nose, and decreasing mental status. Cardiac symptoms include increased heart rate and decreased blood pressure.

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Severe Allergic Reaction

A severe allergic reaction is indicated by symptoms like shock (hypofusion) and severe respiratory distress.

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Initial Assessment

Gathering information about the patient during the initial evaluation can reveal the need for administering epinephrine.

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Epinephrine

A medication given to treat severe allergic reactions.

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Cardiac Symptoms (Allergy)

Cardiac symptoms in allergic reactions include increased heart rate and decreased blood pressure.

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Rapid Breathing

Fast breathing can be a symptom of a severe allergic reaction.

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Stridor

A high-pitched, whistling sound during breathing, often a sign of airway blockage in an allergic reaction.

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Wheezing

Audible whistling sound indicating narrowed airways, possibly caused by allergic reaction.

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Decreasing Mental Status

A worsening level of consciousness, potentially a severe symptom of allergy.

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Shock

A life-threatening condition categorized by decreased blood flow to vital organs.

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Epinephrine Auto-Injector

A device that delivers a precise dose of epinephrine via intramuscular self-injection, used to treat severe allergic reactions.

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Epinephrine's Role

Epinephrine helps dilate airways, constrict blood vessels, and improve heart pumping, counteracting serious allergic reactions.

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When to Use Epinephrine?

Administer epinephrine to patients with severe allergic reactions, showing signs of respiratory distress or circulatory shock.

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Epinephrine Dosage

Adults receive a 0.3mg dose, while infants and children get 0.15mg.

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Epinephrine Side Effects

Common side effects include increased heart rate, paleness, dizziness, chest pain, headache, nausea, vomiting, and anxiety.

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Allergic Reaction Assessment

The initial assessment focuses on gathering information about the patient's allergies, exposure, and progression of symptoms.

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Severe Allergic Reaction Signs

Signs like respiratory compromise (wheezing, difficulty breathing) and circulatory shock (low blood pressure) indicate a severe allergic reaction.

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Patient with No Respiratory Distress

If the patient is not wheezing or showing signs of respiratory distress, but has had an allergic reaction, administer high-flow oxygen and transport.

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Oxygen for Allergic Reactions

High-flow oxygen is administered to patients with allergic reactions who are not wheezing but still show signs of respiratory distress.

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Allergic Reaction Management

Managing allergic reactions involves assessing the severity of the reaction, providing airway support, and administering medications as needed.

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Study Notes

Chapter 21: Allergic Reactions

  • Allergic reactions are exaggerated immune responses to substances contacting the body
  • A severe allergic reaction is called anaphylaxis or an anaphylactic reaction
  • Allergens are substances commonly causing allergic reactions (e.g., insect bites/stings, foods, plants, medications)
  • Causes of allergic reactions include foods, insect bites, medications, and plants
  • Signs and symptoms of allergic reactions may include warm tingling feelings in the face, mouth, chest, feet, hands, itching, hives, red skin, swelling of face, neck, hands, feet and/or tongue
  • Respiratory system symptoms include patient feeling tightness in the throat/chest, cough, rapid breathing, labored breathing, noisy breathing, hoarseness, stridor, wheezing
  • Cardiac symptoms include increased heart rate, and decreased blood pressure
  • Generalized findings of allergic reactions include itchy, watery eyes, headache, a sense of impending doom, runny nose, decreasing mental status
  • Assessment findings revealing shock (hypoperfusion) and severe respiratory distress suggest a severe allergic reaction

Emergency Care for Patients with Allergic Reactions

  • Perform initial assessment
  • Perform focused history and physical exam (history of allergies, what patient was exposed to, how they were exposed, effects, progression, interventions)
  • Assess baseline vital signs and SAMPLE history
  • If patient has prescribed preloaded epinephrine, administer it
  • If no preloaded epinephrine is available and patient has no epinephrine auto-injector, transport immediately

Epinephrine

  • A medication used to dilate bronchioles, prevent tissue swelling, constrict blood vessels, and increase heart's ability to pump blood
  • Auto-injector: a device administering a preset dose of medication via intramuscular self-injection
  • Indications include assessment revealing patient with a severe allergic reaction, respiratory compromise and/or hypoperfusion.
  • Contraindications are none in emergency situations
  • Actions of epinephrine: Dilates the bronchioles, constricts blood vessels
  • Dosage: Adult – one adult auto-injector (0.3 mg); Infant and child – one infant/child auto-injector (0.15 mg)
  • Side effects may include increases heart rate, pallor, dizziness, chest pain, headache, nausea, vomiting, excitability, anxiousness

Use of the Auto-Injector

  • Steps are shown in the slides.

Emergency Care of Allergic Reaction

  • If patient does not have signs of respiratory distress or shock (hypoperfusion), continue focused assessment
  • If patient does not have wheezing or without signs of respiratory distress or shock (hypoperfusion), administer high-flow oxygen and transport

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Description

Explore the complex world of allergic reactions in this quiz based on Chapter 21. Learn about the causes, symptoms, and severe responses like anaphylaxis. Test your understanding of allergens and how they affect the body.

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