Allergic reactions can result in a variety of signs and symptoms.
Increased heart rate Decreased blood pressure Coughing, stridor, wheezing or noisy respirations Rapid, labored breathing Tightness in the throat, hoarseness Hives (urticaria) Itchy, red or flushed skin Signs & Symptoms of Allergic Reactions
Tingling in face, mouth, chest, hands and feet Body swelling and rash Itchy, watery eyes Patient may feel uncomfortable and display odd behavior Headache Allergic Reactions continued
Respiratory distress and hypoperfusion are the most serious complications of allergic reactions... …when these signs and symptoms are present, immediate intervention may be needed.
Remember that the earliest sign of hypoperfusion is a change in the mental status of the patient.
Emergency Care for Patients with Allergic Reactions Airway Interventions
Patients with mild allergic reactions should be transported and observed for changes in status.
Serious Signs or Symptoms History Focused and brief Previous reactions and severity Medications available for reaction, tablets or epinephrine autoinjector Physical examination Baseline vital signs Signs of allergic reaction
Assessment reveals a patient with a severe allergic reaction Respiratory compromise and/or hypoperfusion Medication has been prescribed for this patient by a physician Medical direction authorizes use for this patient Expiration date current Criteria for Epinephrine Autoinjector
There are NO CONTRAINDICATIONS to epinephrine in a life- threatening emergency!