Key messages

• Factors influencing treatment include the location of the reaction, the rate of progression, the underlying state of the patient, the clinical manifestations, and the mechanism of the reaction.

• Multisystem anaphylaxis with urticaria, asthma, edema, and cardiovascular collapse leads to an obvious diagnosis. However, if symptoms are restricted to a single system such as angio-edema or cardiovascular collapse, the diagnosis may be difficult or not considered.

• The cardinal signs that anaphylaxis is likely to be severe are rapid onset, dyspnea, stridor, facial swelling, and/or hypotension.

• Sympathomimetic drugs are the primary pharmacological agents used in anaphylactic shock. All vasoconstrictor sympathomimetics produce some improvement. The agent of choice is epinephrine (adrenaline).

• In severe anaphylaxis with cardiovascular collapse or pulmonary edema there is a significant volume deficit. Colloid is more efficient in severe cases, since four to eight times the volume of crystalloid is necessary.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

Get My Free Ebook

Post a comment