Acute Medical Presentations — Flashcards

Flashcard 211: A _____ may be done in anaphylaxis to determine if the patient is having a true episode of anaphylaxis

Answer: mast cell tryptase blood test

Flashcard 212: Persistent skin symptoms (urticaria, angioedema) in anaphylaxis may be managed with _____ following initial stabilisation

Answer: non-sedating oral antihistamines

Flashcard 213: Anaphylaxis is a type _____ hypersensitivity reaction

Answer: I

Flashcard 214: What is the concentration and dose of adrenaline given for anaphylaxis in _____? 500 micrograms of 1 in 1000 (0.5ml)

Answer: adults & children >12 years

Flashcard 215: _____ anaphylaxis is defined as no improvement in respiratory or cardiovascular symptoms despite 2 doses of IM adrenaline

Answer: Refractory

Flashcard 216: Adrenaline should be injected in the _____ for anaphylaxis

Answer: anterolateral aspect of the middle third of the thigh

Flashcard 217: In anaphylaxis, the dose of IM adrenaline for _____ is 300 micrograms (0.3 mL) of 1:1000.

Answer: children aged 6–12 years

Extra: IM adrenaline (1:1000) doses for anaphylaxis: - < 6 months: 100-150mcg (0.1-0.15mL) - 6 months to 6 years: 150mcg (0.15mL) - 6-12 years: 300mcg (0.3mL) - > 12 years (and adults): 500mcg (0.5mL) or 300mcg if small/pre-pubertal.

Flashcard 218: Patients with refractory anaphylaxis should be given _____ every 5 minutes until a(n) adrenaline infusion is started

Answer: IM adrenaline

Flashcard 219: What is the management of refractory anaphylaxis? _____ & adrenaline infusion

Answer: Rapid IV crystalloid fluid bolus

Flashcard 220: What volume of crystalloid fluid should be given as a bolus in anaphylaxis? Adult: _____ Child: 10ml/kg

Answer: 500-1000ml