Podcast
Questions and Answers
Which of the following symptoms is NOT typically associated with anaphylaxis?
Which of the following symptoms is NOT typically associated with anaphylaxis?
What type of shock is caused by increased fluid leakage due to an immune response during anaphylaxis?
What type of shock is caused by increased fluid leakage due to an immune response during anaphylaxis?
Which symptom indicates altered mental state in a patient experiencing shock?
Which symptom indicates altered mental state in a patient experiencing shock?
What is the primary method for preventing anaphylaxis in individuals with known triggers?
What is the primary method for preventing anaphylaxis in individuals with known triggers?
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Which situation may lead to an unknown trigger for an individual prone to anaphylaxis?
Which situation may lead to an unknown trigger for an individual prone to anaphylaxis?
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What is a common food trigger for anaphylaxis?
What is a common food trigger for anaphylaxis?
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Which sign is characteristic of hypovolemic shock during anaphylaxis?
Which sign is characteristic of hypovolemic shock during anaphylaxis?
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What role do Adult Cadet Staff (ACS) play if a cadet has anaphylaxis?
What role do Adult Cadet Staff (ACS) play if a cadet has anaphylaxis?
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Which of the following is NOT a common trigger for asthma?
Which of the following is NOT a common trigger for asthma?
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What is the primary purpose of preventer medication for asthma?
What is the primary purpose of preventer medication for asthma?
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In an asthma emergency, how many puffs should be given at a time following the 4 x 4 x 4 rule?
In an asthma emergency, how many puffs should be given at a time following the 4 x 4 x 4 rule?
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Which symptom indicates a severe asthma attack?
Which symptom indicates a severe asthma attack?
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What is the role of a bronchodilator in asthma treatment?
What is the role of a bronchodilator in asthma treatment?
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In the case of anaphylaxis, what type of reaction is primarily involved?
In the case of anaphylaxis, what type of reaction is primarily involved?
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Which of the following statements about asthma presentations is true?
Which of the following statements about asthma presentations is true?
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What should be done if a cadet in distress is known to have triggers for asthma?
What should be done if a cadet in distress is known to have triggers for asthma?
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Study Notes
First Aid 1: Management and Prevention of High Acuity Presentations
- Course: SGSCC JNCOS Course
- Topic: Asthma and Anaphylaxis management and prevention.
Learning Objectives
- Understand the management and prevention of Asthma
- Understand the management and prevention of Anaphylaxis
Asthma
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How asthma affects the lungs:
- Asthma causes the smooth muscles in the airways to tighten, inflame, swell and produce extra mucus.
- This makes breathing difficult.
- Diagrams of the airways and lungs show the affected areas.
Asthma Presentations: Signs and Symptoms
-
General: Difficulty breathing, difficulty speaking, coughing, wheezing, chest tightness, anxiety.
- Patients may know they are having an attack.
- Severe: Confusion, drowsiness, cyanosis, difficulty speaking in single words.
Asthma Prevention
- Common Triggers: Exercise, respiratory infection, air particles (pollen, smoke, dust), sudden weather changes, anxiety/emotional stress.
- Triggers Unknown: If triggers are unknown, inform PLT staff.
- Medication: Cadets may need to regularly take "preventer" medication.
Asthma Preventer Medication
- Responsibility: SGS staff are responsible for cadets taking their prescription medication.
- Not JNCO's responsibility: JNCOs should not take responsibility for medication -This information is for reference only.
- Purpose: Used to prevent asthma attacks, not to treat ongoing attacks.
- Variety: Many types, colors, and designs of preventer medications are available.
Asthma Treatment
- Reliever Medication (bronchodilator): Used to quickly relax airway muscles.
- Spacer: If available, always use a spacer with reliever medication to improve effectiveness.
- Procedure (4 x 4 x 4): Give 4 puffs, wait 4 minutes, give 4 more puffs, and wait 4 more minutes. This procedure should be repeated as needed.
- Call for Help: Call 000 for medical assistance if symptoms worsen or do not improve.
Anaphylaxis
- Definition: A life-threatening systemic response to an allergen involving multiple body systems. -This is not a simple skin reaction. A severe systemic hypersensitivity reaction.
Anaphylaxis Signs and Symptoms
- Symptoms: Respiratory distress (coughing, wheezing, stridor, difficulty breathing), abdominal symptoms (nausea, vomiting), skin/mucosal symptoms (hives, welts, itching, facial swelling), hypotension/shock.
Anaphylaxis Prevention
- Triggers: Identify and limit exposure to common triggers like food (peanuts, tree nuts, eggs, dairy, fish, shellfish, soy, sesame seeds), insect stings, latex, and medications (new ones are a good example).
Anaphylaxis Prevention (Cadet-Specific)
- Inform Staff: PLT CDT Staff to be informed if cadet has anaphylaxis.
- Dietary Restrictions: Anaphylactic cadets have Special Dietary Requirements (SDR). Their rations are managed by the Food Management Officer (FMO).
- Risk from Fellow Cadets: Food brought by fellow cadets poses the biggest risk.
Anaphylaxis Treatment
- Call for Help: Call CASEVAC (000) for immediate help.
- Lying Flat: Lie the person flat; do not allow them to stand or walk.
- Adrenaline Auto-injector (EpiPen): Administer adrenaline auto-injector (EpiPen) intramuscularly to the outer mid-thigh.
- Follow-up: If no response after 5 minutes, repeat adrenaline injection.
Adrenaline and its Effects
- Purpose: Reverses allergic reaction effects.
- Effects: Increases blood pressure, tightens blood vessels, reduces fluid leakage, improves breathing, and opens airways.
Adrenaline Auto-Injector specifics
- Different brands are available, containing 500mcg (Anapen), 300mcg (EpiPen), or 150mcg (EpiPen Junior) of adrenaline.
- Specific instructions are available on how to use each type of auto injector (Anapen and EpiPen).
Summary of Adrenaline Auto-Injector
- Anapen: White end on leg, press thumb on red button.
- EpiPen: Blue end to the sky, orange end to the thigh.
Anaphylaxis Key Points
- Cause: Life-threatening systemic hypersensitivity reaction.
- Presentation: R.A.S.H. Symptoms
- Prevention: Identifying possible triggers and avoiding them.
- Treatment: Use adrenaline auto-injector.
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Description
This quiz focuses on the management and prevention of asthma and anaphylaxis as part of the SGSCC JNCOS Course. You will learn about the impact of asthma on lungs, recognize signs and symptoms, and identify common triggers. Test your knowledge on effective prevention strategies for high acuity presentations.