Chapter 21: Allergy / Anaphylaxis Scenario 1 Quiz
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Questions and Answers

What are the signs and symptoms of an allergic response from mild to anaphylactic?

  • Itching, hives, and localized swelling (correct)
  • Nausea, vomiting, and diarrhea
  • Cough, chest pain, and shortness of breath
  • Fever, muscle aches, and rash
  • What is the immediate treatment if someone accidentally ingests a dry powder chemical that causes burning?

  • Induce vomiting
  • Administer activated charcoal
  • Seek medical assistance
  • Flush the affected area with water (correct)
  • Which of the following are contraindications for administering epinephrine in patients with anaphylaxis?

  • Certain cardiac arrhythmias (correct)
  • Respiratory distress
  • Localized skin rash
  • Hypersensitivity to antihistamines
  • What is one potential exacerbation of underlying cardiac conditions that can result from using epinephrine?

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

    What are the symptoms of severe allergic reactions that indicate systemic inflammatory mediator release?

    <p>Decreased blood pressure and cardiovascular collapse</p> Signup and view all the answers

    When should activated charcoal be administered?

    <p>Within 2 hours after ingestion of poison or toxins</p> Signup and view all the answers

    What is the key difference between anaphylaxis and anaphylactic shock?

    <p>Anaphylactic shock results in decreased blood pressure, unlike anaphylaxis.</p> Signup and view all the answers

    Which symptom is NOT typically associated with anaphylaxis?

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

    What is the primary role of epinephrine in the treatment of anaphylaxis?

    <p>To reduce bronchospasm</p> Signup and view all the answers

    Which route is epinephrine typically administered for the management of anaphylaxis?

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

    What would be the appropriate dosage of epinephrine for a child experiencing severe allergic reactions?

    <p>$0.01$ mg/kg</p> Signup and view all the answers

    What is the general indication for using epinephrine in a medical emergency?

    <p>Severe allergic reactions only</p> Signup and view all the answers

    Study Notes

    Allergic Response Symptoms

    • Mild allergic reactions may present with symptoms such as sneezing, itching, and mild swelling.
    • Moderate symptoms can escalate to hives, shortness of breath, and gastrointestinal issues.
    • Anaphylaxis is a severe, life-threatening allergic reaction characterized by difficulty breathing, rapid heart rate, and a drop in blood pressure.

    Immediate Treatment for Chemical Ingestion

    • If a dry powder chemical that causes burning is ingested, the immediate step is to rinse the mouth thoroughly with water.
    • Avoid inducing vomiting unless advised by a medical professional, as this can worsen the chemical's effect.

    Contraindications for Epinephrine

    • Potential contraindications for administering epinephrine include significant heart disease or acute coronary syndrome.
    • History of hypertension may also warrant caution in epinephrine use during anaphylaxis.

    Exacerbation of Cardiac Conditions

    • Administration of epinephrine can potentially exacerbate underlying cardiac conditions, leading to arrhythmias due to its stimulant effect on the heart.

    Symptoms Indicating Severe Allergic Reactions

    • Signs of a severe allergic reaction indicating systemic inflammatory mediator release include difficulty breathing, swelling of the throat, and rapid drop in blood pressure.
    • Other symptoms may include severe abdominal pain and loss of consciousness.

    Activated Charcoal Administration

    • Activated charcoal should be administered under specific circumstances, such as within one hour of ingestion of a toxic substance that is not caustic.
    • It is generally not indicated for corrosive substances.

    Anaphylaxis vs. Anaphylactic Shock

    • Anaphylaxis refers to the overall severe allergic reaction, while anaphylactic shock is a critical manifestation where there is a significant drop in blood pressure and organ dysfunction.
    • Anaphylactic shock is a more severe outcome of an untreated anaphylaxis condition.

    Symptom Not Associated with Anaphylaxis

    • A symptom not typically associated with anaphylaxis is a fever, as this condition is characterized by rapid onset of allergic symptoms rather than infectious or inflammatory responses.

    Primary Role of Epinephrine

    • The primary role of epinephrine in treating anaphylaxis is to reverse the effects of severe allergic reactions by constricting blood vessels, dilating airways, and increasing heart rate.

    Route of Epinephrine Administration

    • Epinephrine is typically administered via intramuscular injection, often in the mid-anterolateral thigh for quick absorption.

    Dosage of Epinephrine for Children

    • The appropriate epinephrine dosage for a child experiencing severe allergic reactions is generally 0.01 mg/kg, with a common auto-injector device delivering 0.15 mg or 0.30 mg based on age and weight.

    Indication for Using Epinephrine

    • The general indication for using epinephrine in a medical emergency is the presence of anaphylaxis, where the patient exhibits severe allergic symptoms that require immediate intervention.

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    Description

    This quiz focuses on defining allergy, anaphylaxis, and anaphylactic shock, along with their presentations and treatments. Test your knowledge on immune system responses and symptoms related to allergies and anaphylaxis.

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