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15 Cards in this Set
- Front
- Back
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What medications are commonly associated with Type 1 hypersensitivity reactions?
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1)penicillin
2)aspirin 3)lidocaine and anesthetics 4)nitrates 5)MSG |
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What medications are commonly associated with Type 2 hypersensitivity reactions?
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1)methyldopa
2)penicllin 3)sulfas 4)quinidine |
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What medications are commonly associated with Type 3 hypersensitivity reactions?
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1)antivenoms
2)penicillin 3)sulfas 4)phenytoin |
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What medications are common antigens in anaphylactoid reactions?
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1)opiates
2)contrast dyes 3)vancomycin 4)amphotericin |
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Treatment for a patient with an anaphylactoid reaction
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1)recumbent position/elevate extremities
2)tourniquet 3)epinephrine 4)oxygen 5)NS 6)dopamine/NE/ cimetidine/ranitidine 7)nebulized beta-agonist/IV aminophylline 8)solumedrol/hydrocortisone sodium succinate 9)diphenhydramine 10)glucagon |
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Strength of epipen vs epipen Jr.
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Epipen= 1:1000 strenght and delivers 0.3mg in 0.3mls
Epipen Jr= 1:2000 strenght and delivers 0.15mg in 0.3ml (may be appropriate for patients under 30kgs) |
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Epipen dosing in adults and Epipen Jr dosing in children
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1)0.3-0.5mg of 1:1000 strength IM in adults
2)0.15 or 0.3mg SQ or IM in children |
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Where is epinephrine administered?
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1)nonoccluded site
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Where is aqueous epinephrine administered?
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into site of antigen injection
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Dosing for aqueous epinephrine in adults and children
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1)0.15-.025ml SQ in adults
2)0.005ml/kg SQ in children |
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What agents can be used for refractory hypotension to fluid bolus, dopamine, or NE?
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1)cimetidine IV
2)ranitidine IV |
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What is the purpose of corticosteroids?
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To block the late phase reaction
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How long till improvement seen with corticosteroids?
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6-8hours
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Diphenhydramine role and IV infusion
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1)blocks further histamine release
2)Give IV infusion slowly or you may worsen hypotension |
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When is glucagon indicated?
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1)epinephrine-resitant patients on beta-blockers
2)other options= atropine or isoproterenol |
