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10 S P M P On Anaphylaxis
1.
2.
Excessive tears, itching
and congestion of the eyes
3.
Cough and sensation
of tightness of chest
4.
Abdominal pain, nausea,
vomiting and diarrhoea
5.
6.
Date of starting
the medications and dosage changes
7.
Temporal relationship between
the drug and reaction
8.
Marital, menstrual and
psychosocial history
9.
10.
IV contrast materials
like suphobromophthalien
11.
Antihistamines like dimenhydramine
and promethzine
12.
Hymenoptera venom of
bees, wasps and hornets
13.
14.
Epinephrine
15.
Leucotriene C4
16.
Prostaglandin D2
17.
18.
Increased bronchial smooth
muscle tone
19.
Decreased vascular smooth
muscle tone
20.
Increased capillary permeability
21.
22.
Tachypnoea tachycardia and
hypertension
23.
Localized nonpitting cutaneous
edema
24.
Rhonchi and wheezing
25.
26.
Exercise the limb
vigorously for two minutes
27.
Remove the insect
stinger without compression
28.
Administer 0.2ml 1:1000
adrenaline into the site
29.
30.
Angioedema
31.
Airway obstruction
32.
Bronchospasm
33.
34.
intra-tracheally
35.
As intravenous infusion
36.
Sublingually
37.
38.
0.3ml 1:1000 solution
SL
39.
10ml 1:1000 solution
IV push
40.
1.0ml 1:1000 solution
IT in 10ml Saline
41.
42.
Uncontrolled hypertension
43.
Ventricular arrhythmia
44.
Second stage of
labor
45.
46.
Assess vital signs
like pulse and BP immediately
47.
Administer oxygen via
mask in all cases
48.
The patient should
be propped up with a back rest
49.
50.
H1 receptor antagonist
dimenhydramine 50mg IV
51.
H2 receptor ranitidine
50mg IV
52.
Digoxin 2.5mg given
intravenously
53.
54.
Aminophyllin for persistent
airway resistance
55.
Morphine 50mg IV
in respiratory depression
56.
Noradrenaline may be
given as an infusion
57.
58.
They have a
role in reversing bronchspasm
59.
They do not
control cutaneous effects of anaphylaxis
60.
They help to
prevent biphasic reaction
61.
62.
Oxygen via a
nasal catheter
63.
Intermittent positive pressure
ventilation
64.
Endotracheal intubation and
tracheostomy
65.
66.
Knowing about cross
reactivity between agents
67.
Prick or scratch
skin test to precede intra-dermal test
68.
Desensitization in case
of drugs like ASV
69.
Not providing a
resuscitation kit to such patients
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