Patient Care and Anaphylaxis Management
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Questions and Answers

What should you do for a 19-year-old female who was stung multiple times by fire ants and is allergic?

  • Administer oxygen and transport her to the hospital (correct)
  • Request a paramedic unit to administer epinephrine
  • Advise her to see her physician as soon as possible
  • Position her legs well above the level of her heart
  • How should you treat a 37-year-old male having a severe allergic reaction to penicillin without an epinephrine auto-injector?

  • Quickly determine if there are any bystanders who may carry epinephrine
  • Ask the patient if he has any diphenhydramine tablets that you can administer
  • Remain at the scene with the patient and request a paramedic ambulance
  • Administer oxygen, transport at once, and request a paramedic intercept (correct)
  • After administering epinephrine to a 22-year-old woman with an allergic reaction and noting some improvement, what should you do next?

  • Consider administering 0.15 mg of epinephrine to completely resolve her allergic reaction
  • Transport her rapidly, as it is obvious that she is having a severe reaction
  • Contact medical control and obtain authorization to administer another 0.3 mg of epinephrine
  • Monitor her closely but recall that anxiety and tachycardia are side effects of epinephrine (correct)
  • Anaphylaxis caused by stinging insects is typically an allergic reaction to ____________ rather than the bite or sting itself.

    <p>injected poison</p> Signup and view all the answers

    Anaphylaxis is MOST accurately defined as a(n):

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

    At the site of the injury, signs and symptoms of an animal or insect bite or sting may include pain, localized heat, and a wheal, which appears as __________.

    <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 of the following?

    <p>Apply high-flow oxygen therapy, place the patient in a shock position, and help maintain the patient's body temperature</p> Signup and view all the answers

    Epinephrine stimulates the ________ response, increasing blood pressure and relieving bronchospasm.

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

    Patients may experience allergic reactions to which of the following substances?

    <p>All of these answers are correct</p> Signup and view all the answers

    The adult epinephrine auto-injector delivers ______ mg of epinephrine, and the infant-child auto-injector delivers ______ mg.

    <p>0.3; 0.15</p> Signup and view all the answers

    The effects of epinephrine are typically observed within _________ following administration.

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

    The goal of invaders such as bacteria and viruses is to __________.

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

    The stinger from a honeybee should be:

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

    Urticaria is the medical term for:

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

    When a foreign substance invades the body, the body will __________.

    <p>All of these answers are correct</p> Signup and view all the answers

    When an allergic reaction proceeds to life-threatening anaphylaxis, it will usually do so __________.

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

    Which of the following medications blocks the release of histamines?

    <p>Diphenhydramine (Benadryl)</p> Signup and view all the answers

    Which of the following signs/symptoms are indicative of respiratory involvement of an allergic reaction?

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

    Which of the following sounds indicates swelling of the upper airway?

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

    Which of the following 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

    Patient Care in Allergic Reactions

    • A 19-year-old female with fire ant stings shows no epinephrine; oxygen administration and transportation to a hospital are critical.
    • A 37-year-old male experiencing a severe penicillin allergy without an auto-injector requires immediate oxygen, transport, and paramedic assistance.
    • Improvement after epinephrine administration may still leave patients anxious and tachycardic; close monitoring is essential.

    Understanding Anaphylaxis

    • Anaphylaxis arises from an allergic reaction to injected poisons from stinging insects.
    • Defined as an extreme allergic response affecting multiple body systems.

    Symptoms of Allergic Reactions

    • Local injury signs from insect bites include pain, heat, and a wheal, characterized as raised and well-defined.
    • Hypotensive allergy victims should receive high-flow oxygen, shock positioning, and temperature maintenance.

    Mechanisms of Epinephrine

    • Epinephrine enhances the sympathetic response, raising blood pressure and relieving bronchospasm.
    • Effective dosages: adult injectors deliver 0.3 mg; infant-child injectors, 0.15 mg; effects seen within one minute post-administration.

    Immune Response and Invaders

    • Bacteria and viruses aim to use the human body for proliferation rather than destruction.
    • Upon foreign substance invasion, the body activates protective measures.

    Treatment Techniques for Specific Allergens

    • Honeybee stingers should be scraped away to prevent further venom release.
    • Urticaria medically refers to hives, a common symptom in allergic reactions.
    • Medications like diphenhydramine block histamine release, offering relief from allergic reactions.

    Recognizing Symptoms of Airway Compromise

    • Symptoms of respiratory involvement include chest tightness; stridor indicates upper airway swelling.
    • Environmental factors often reveal clues about the source of allergic reactions.

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    Description

    This quiz covers essential aspects of patient care during allergic reactions, particularly focusing on anaphylaxis management and treatment protocols. It discusses symptoms, immediate actions required, and the mechanisms of epinephrine in emergency situations. Understanding these concepts is vital for healthcare professionals dealing with allergic reactions.

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