DEALING WITH ALLERGIC AND ANAPHYLAXIS SHOCK
The incidence of true anaphylaxis is rare. Most allergic reactions can be managed with over-the-counter anti-histamines. Epinephrine has been given mistakenly to patients for mild allergic reactions, hyperventilation syndrome and panic attacks.
Treatment for Allergic Reactions and Anaphylaxis
- Remove the allergen or the patient from the offending environment.
- Administer oral antihistamines (e.g. diphenhydramine 50mg PO every 4-6 hours).
- If patient shows signs and symptoms of anaphylaxis (Swollen face, lips and tongue; difficulty swallowing; systemic hives; respiratory distress; inability to speak in more than one or two word clusters; signs and symptoms of shock) administer epinephrine .3ml/1:1000 SQ or IM.
- If reaction reoccurs or the epinephrine is ineffective, continue to administer epinephrine.
Evacuation Guidelines for Allergic Reactions and Anaphylaxis
- Any patient who continues to show respiratory compromise or signs and symptoms of shock after treatment with epinephrine and antihistamines.
- Any patient who has received epinephrine. Continue to provide anti-histamines during evacuation.
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