📌 Random Medical Notes #10:
"Management of an Anaphylactic reaction to a drug":
- If an allergic reaction occurs:
📍ABCDE APPROACH for life-threatining problems,
keep the patient supine or semi-sitting, not standing, discontinue the drug administeration ..
📍1st line of TTT:
Give 0.5 mg Adrenaline I.M in the middle of the anterolateral part of the thigh ..
So, with Adrenaline 0.25 mg/ ml ampoule for example.. we give 2 ml I.M ..
to be repeated every 5 mins if symptoms didn't improve up to 2 doses ..
If no improvement, refer to the Refractory Anaphylaxis algorithm shown below ..
📍 Monitoring: NIBP, Pulse oximeter, ECG
📍+ if Hypotension occurs:
Administer IV Crystalloids (Normal Saline or Ringer lactate) via wide-bore cannula rapidly (Give 1 Liter bolus in adults, with additional fluid resuscitation as needed in severe anaphylactic shock up to 3-5 Liters in adults)
📍+ if Respiratory distress occurs:
Administer High flow Oxygen (6-8L/ min) + Nebulized Atrovent or Salbutamol in case of Wheezy chest
📍 Additional lines of TTT:
Give Dexa, Hydrocortisone, and Avil to relieve the allergic reaction symptoms ..
Transport the patient to hospital
The algorithm shown below may be of help..
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1February 18, 2025 3.8K 18
