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Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted.

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Presentation on theme: "Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted."— Presentation transcript:

1 Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted + wheezes and hives. How would you prepare for this patient’s arrival? Prepare for IV placement Meds: benadryl IV, solumedrol IV, zantac IV, sq epi (0.3cc of 1:1,000) Inform ED attending of patient’s arrival ?Allergic Reaction

2 Patient arrives c/o throat tightness, SOB. She is flushed. VS are 120/ O2 sat on RA 94%. LS reveal + I/E wheezes. What is your top priority? Hi-flo O2 Call physician into room Prepare for nebulizer treatments Anticipate IV benadryl, IV steroids, IV zantac and possible SQ epi

3 You have administered 50mg IV benadryl and 80mg IV solumedrol. Respiratory is finishing patient’s 2 nd nebulizer treatment. Patient’s symptoms have improved, RR 18, O2 sat (during neb) 99%. SOB and wheezing resolved. What do you anticipate? Observe for approximately for usually 3-4 hours. Patient teaching for epi-pen, po benadryl and possible steroid course. Patient should receive prescription for epi-pen Discharge teaching- return for s/s of allergic reaction Remind to avoid nuts


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