EMT Chapter 20 - Immunologic Emergencies
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Questions and Answers

Anaphylaxis typically involves which of the following?

  • Multiple organ systems (correct)
  • Wheals
  • Urticaria
  • Wheezing
  • Epinephrine works rapidly to do which of the following?

  • Raise the pulse rate and blood pressure
  • Inhibit an allergic reaction
  • Relieve bronchospasm
  • All of the above (correct)
  • Why should you not use tweezers or forceps to remove an embedded stinger?

  • Squeezing may cause the stinger to inject more venom into the wound (correct)
  • Removing the stinger may cause bleeding
  • The tweezers are not sterile and may cause infection
  • The stinger may break off in the wound
  • What is the appropriate dose of epinephrine for a child with a nut allergy?

    <p>0.15 mg</p> Signup and view all the answers

    When does an allergic reaction typically proceed to life-threatening anaphylaxis?

    <p>Quickly, within 30 minutes</p> Signup and view all the answers

    What is the goal of invaders such as bacteria and viruses?

    <p>Use a human body as a home</p> Signup and view all the answers

    Sign and symptoms of an animal or insect bite or sting include localized heat and a wheal, which appears as what?

    <p>A raised, well-defined area of the skin</p> Signup and view all the answers

    Care for a victim of an immunologic emergency who is severely hypotensive should include which measure?

    <p>Apply high-flow oxygen therapy, place the patient in a shock position</p> Signup and view all the answers

    Which signs/symptoms indicate respiratory involvement of an allergic reaction?

    <p>Tightness in the chest or throat</p> Signup and view all the answers

    Epinephrine stimulates which response to increase blood pressure?

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

    What should you do after administering 0.3 mg of epinephrine to a patient with an allergic reaction who is anxious and tachycardic?

    <p>Monitor her closely - these are side effects of epinephrine</p> Signup and view all the answers

    Anaphylaxis is MOST accurately defined as what?

    <p>Extreme allergic reaction that may affect multiple body systems</p> Signup and view all the answers

    Urticaria is the medical term for what?

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

    The stinger from a honeybee should be how handled?

    <p>Scraped away from the skin</p> Signup and view all the answers

    Which factors would MOST likely provide clues regarding the source of a patient's allergic reaction?

    <p>The environment in which the patient is found</p> Signup and view all the answers

    Study Notes

    Anaphylaxis Overview

    • Anaphylaxis typically involves multiple organ systems.
    • Symptoms can include wheezing and urticaria (hives).

    Epinephrine Usage

    • Epinephrine effectively raises pulse rate and blood pressure, inhibits allergic reactions, and relieves bronchospasm.
    • Standard dosage for a child using an EpiPen is 0.15 mg.

    Allergic Reaction Progression

    • Life-threatening anaphylaxis usually occurs quickly, typically within 30 minutes.
    • Immune invaders, like bacteria and viruses, utilize the human body as a home to spread disease.

    Signs and Symptoms

    • For insect bites or stings, signs may include pain, localized heat, and a raised, well-defined area of the skin (wheal).
    • Respiratory symptoms of an allergic reaction include tightness in the chest or throat, along with potential flushed skin and a sense of impending doom.

    Care Strategies

    • For a hypotensive patient in an immunologic emergency, apply high-flow oxygen, place in a shock position, and maintain body temperature.

    Understanding Epinephrine's Effects

    • Epinephrine stimulates the sympathetic response, leading to increased blood pressure and bronchospasm relief.
    • After epinephrine administration, anxiety and tachycardia are common side effects; monitor closely without additional doses unless directed.

    Definitions to Remember

    • Anaphylaxis is an extreme allergic reaction affecting multiple body systems.
    • Urticaria refers specifically to hives which are raised areas on the skin.
    • The correct technique for removing a honeybee stinger is to scrape it away from the skin; do not use tweezers.

    Identifying Allergic Reaction Sources

    • The patient's environment is crucial for identifying allergic reactions; clues may include the location and timing of exposure.

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    Description

    Test your knowledge on immunologic emergencies with this flashcard quiz from EMT Chapter 20. The quiz covers key concepts, including anaphylaxis and the role of epinephrine in treating allergic reactions. Perfect for studying for exams or refreshing your knowledge.

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