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20 Cards in this Set

  • Front
  • Back
Which of the following meds for tx allergic reactions and anaphylaxis also relieves the abd cramping associated with both?
Diphenhydramine
Which pt would benefit the most from the administration of Dopamine 2-20mcg/kg/min IV?
24y/o in anaphylactic shock refractory to epi and diphenhydramine
Your pt is experiencing profuse hives, itching, dyspnea, coughing, tachycardia and dizziness after eating seafood 5 min ago. you might also expect to see all of the following signs except?
hypertension
___________ is a potentially life-threatening condition involving the head, neck, face and upper airway.
Angioedema
Which of the following statements about corticostreroid use in anaphylaxis tx is true
corticostreroids can reduce the inflammation associated with anaphylaxis
Immunity resulting from a direct attack on a foreign substance by specialized cells in the immune system is
cellular immunity
Upon identifying an antigen in the bloodstream, B cells launch a chemical attack by producing antigens specific to the antibody. this is an example of ____________ immunity.
humoral
22y/o female pt stung by a hornet. states she has allergies to bee stings and was told she could die if stung. exam reveals a red, edematous area 1cm in diameter where she was stung. skin warm and dry, lungs clear = bilat. HR 112 amd reg. BP 122/82, RR 12 and reg, SaO2 98%. The most appropriate tx for this pt would include?
100% O2 via NRB, Monitor, IV Of NS KVO, Transport
Which med would be the best choice for reducing the bronchospasm associated with anaphylaxis
Albuterol
____________ is considered an ominous sign late in anaphylaxis
Bradycardia
Male pt with puncture wound to foot from a nail. Pt visiting from El Salvador never recieved a tetanus vac. ER administered tetanus immune globulin and tetanus vac. Which of the following best describes the rationale for this tx.
tetanus immune globulin provides immediate protection. tetanus vac provides passive immunity by producing tetanus specific antibodies
60y/o male pt, conscious and alert sitting on toilet. Appears moderate distress c/o nausea and diarrhea. Pt allergic to eggs and ate pancakes made with eggs this am. Describes 4 hour hx of severe diarrhea and vomiting. HR 124 BP 92/60, RR 16, SaO2 98%. Exam no urticaria or angioedema, skin cool and clammy, lungs clear. Based on these findings what should be your greatest concern
Acute dehydration and cardiovascular collapse
Which of the following signs indicates aggressive airway maintenance in a pt experiencing an anaphylactic reaction
Stridor
Which tx would best halt the urticaria associated with an allergic reaction
Epi SQ and diphenhydramine IM
An allergen's most common route of entry in a anaphlylactic reaction is
injection
Diphenhydramine is administered in anaphylaxis because it
all the above
Approximatley ________ deaths are attributed annually to anaphylaxis in the US
400-800
Which sign associated with an allergic reaction should be concern a caregiver the most
Wheezing
Which of the following is the best route for administering epi to pts in severe anaphlactic shock
IV
All of the following meds should be used in the initial tx of hypotension in pts with anaphylactic shock except
Solu-medrol