Allergy Attacks Case Study
This can help the physician identify the antigen responsible.
• History of anaphylaxis: o If so, the patient likely knows the allergen responsible. o Efforts should be directed toward allergen avoidance.
• Does the patient have autoinjectable epinephrine? o Most deaths from anaphylaxis are associated with delayed administration of epinephrine. Most patients with a history of anaphylaxis should have autoinjectable epinephrine.
• Insect sting: o Insect or fire ant venom allergy can result in anaphylaxis. It is important to identify the insect if possible (remember that honey bees leave their stinger at the sting site). Immunotherapy is indicated and effective for anaphylaxis in venom-allergic patients.
• Food …show more content…
• These patients are at risk for a 2nd episode of anaphylaxis.
• Patients with anaphylaxis should be treated with steroids during the acute treatment, and they should be given a short course of oral corticosteroids to finish at home.
• Must be discharged with autoinjectable epinephrine (this will provide temporary relief so the patient will have time to seek medical assistance).
• Patients must know to seek immediate medical help if symptoms return.
Anaphylaxis - disposition
• All patients who have had anaphylaxis should be discharged with epinephrine in an autoinjecting apparatus.
NOTE: All patients with anaphylaxis would benefit from consultation with an allergist.
• Factors that may help alert you to make a referral include the following: o History of idiopathic anaphylaxis:
An allergist can help by testing likely