Anaphylactic Shock: Causes, Symptoms, and Treatment

 
ANAPHYLACTIC   SHOCK
 
What is it?
Serious life threatening allergic reaction
that is rapid in action and may cause
death.
Causes:
Common causes include insects
bite/stings, foods and medication
 
Skin
Itchiness rather burning sensation of skin
Generalized hives
Flushing &swelling of lips
Swelling of tongue or throat  in about 20%
swelling of face
Running nose &redness of conjunctiva
Skin may also go blue due to lack of oxygen
 
Symptoms
 
Respiratory:
Shortness of breath
wheezes caused by spasm of bronchial muscles
and stridor is due to upper airways obstruction
Hoarsness &pain with swallowing or cough
Cardiac:
Coronary artery spasm which may lead to
myocardial infarction ,dysrrythmias &cardiac arrest
caused by histamine release
Low blood pressure and fast or low heart rate
Rapid pulse
 
Symptoms
 
Others:
Abdominal pain ,diarrhea ,vomiting dizziness ,chest
discomfort, slurred speech
Confusion ,headache ,anxiety
Urine incontinence ,pelvic pain
Risk factors:
People with ASTHMA ,ECZMA ,or ALLERGIC RHINITIS
 
Symptoms
 
Sensitivity tests on blood
 
Patch test
Challenge test
Elimination test
 
Differetial diagnosis
 
Asthma :no rash or itching
 
Syncopy: No rash but pallor more marked
 
Panic attack : No rash but flushing more marked than
hives
 
 
Prevention
 
Avoidance of triggers  such as specific foods ,
environment, medications
Desensitization  to venoms e.g bee ,snake wasp,
ants etc
Oral immunotherapy  mainly in food allergy e.g
milk ,egg, nuts ,peanuts
Preparedness: People prone to reaction are
advised to wear a medical alert bracelet with all
information or having a card
 Parents are advised to inform schools of their
child’s Allergy
 
Treament
 
Anaphylaxis is an emergency condition that needs professional
medical attention right away.  Call 1122
Check the person's airway, breathing, and circulation (the ABC's
of Basic Life Support). A warning sign of dangerous throat swelling
is a very hoarse or whispered voice, or coarse sounds when the
person is breathing in air. If necessary, begin rescue breathing
and 
CPR
.
Calm and reassure the person.
If the allergic reaction is from a bee sting, scrape the stinger off
the skin with something firm (such as a fingernail or plastic credit
card). Do not use tweezers -- squeezing the stinger will release
more venom.
 
Treatment
 
If the person has emergency allergy medicine on hand,
help the person take or inject the medication. Avoid oral
medication if the person is having difficulty breathing.
Take steps to prevent shock. Have the person lie flat,
raise the person's feet about 12 inches, and cover him or
her with a coat or blanket. Do NOT place the person in
this position if a head, neck, back, or leg injury is
suspected, or if it causes discomfort.
Do NOT place a pillow under the person's head if he or
she is having trouble breathing. This can block the
airways.
Do NOT give the person anything by mouth if the person
is having trouble breathing.
 
Prognosis
 
Good when allergen is known and medical care
available
If Allergen is not known but preventive care is available
and good then prognosis is good
Death occurs usually in respiratory asphixia or cardiac
symptoms
Poor prognosis in old age
Patient recovers in most cases if timely given care
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Anaphylactic shock is a serious, life-threatening allergic reaction that can rapidly escalate and potentially lead to death. Common triggers include insect bites or stings, foods, and medications. Symptoms range from skin itchiness and hives to respiratory difficulties and cardiac issues. Proper diagnosis, risk factors, prevention strategies, and emergency treatment protocols are crucial for managing anaphylaxis.

  • Anaphylactic shock
  • Allergic reaction
  • Symptoms
  • Treatment
  • Prevention

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  1. ANAPHYLACTIC SHOCK What is it? Serious life threatening allergic reaction that is rapid in action and may cause death. Causes: Common causes include insects bite/stings, foods and medication

  2. Symptoms Skin Itchiness rather burning sensation of skin Generalized hives Flushing &swelling of lips Swelling of tongue or throat in about 20% swelling of face Running nose &redness of conjunctiva Skin may also go blue due to lack of oxygen

  3. Symptoms Respiratory: Shortness of breath wheezes caused by spasm of bronchial muscles and stridor is due to upper airways obstruction Hoarsness &pain with swallowing or cough Cardiac: Coronary artery spasm which may lead to myocardial infarction ,dysrrythmias &cardiac arrest caused by histamine release Low blood pressure and fast or low heart rate Rapid pulse

  4. Symptoms Others: Abdominal pain ,diarrhea ,vomiting dizziness ,chest discomfort, slurred speech Confusion ,headache ,anxiety Urine incontinence ,pelvic pain Risk factors: People with ASTHMA ,ECZMA ,or ALLERGIC RHINITIS

  5. Sensitivity tests on blood Patch test Challenge test Elimination test

  6. Differetial diagnosis Asthma :no rash or itching Syncopy: No rash but pallor more marked Panic attack : No rash but flushing more marked than hives

  7. Prevention Avoidance of triggers such as specific foods , environment, medications Desensitization to venoms e.g bee ,snake wasp, ants etc Oral immunotherapy mainly in food allergy e.g milk ,egg, nuts ,peanuts Preparedness: People prone to reaction are advised to wear a medical alert bracelet with all information or having a card Parents are advised to inform schools of their child s Allergy

  8. Treament Anaphylaxis is an emergency condition that needs professional medical attention right away. Call 1122 Check the person's airway, breathing, and circulation (the ABC's of Basic Life Support). A warning sign of dangerous throat swelling is a very hoarse or whispered voice, or coarse sounds when the person is breathing in air. If necessary, begin rescue breathing and CPR. Calm and reassure the person. If the allergic reaction is from a bee sting, scrape the stinger off the skin with something firm (such as a fingernail or plastic credit card). Do not use tweezers -- squeezing the stinger will release more venom.

  9. Treatment If the person has emergency allergy medicine on hand, help the person take or inject the medication. Avoid oral medication if the person is having difficulty breathing. Take steps to prevent shock. Have the person lie flat, raise the person's feet about 12 inches, and cover him or her with a coat or blanket. Do NOT place the person in this position if a head, neck, back, or leg injury is suspected, or if it causes discomfort. Do NOT place a pillow under the person's head if he or she is having trouble breathing. This can block the airways. Do NOT give the person anything by mouth if the person is having trouble breathing.

  10. Prognosis Good when allergen is known and medical care available If Allergen is not known but preventive care is available and good then prognosis is good Death occurs usually in respiratory asphixia or cardiac symptoms Poor prognosis in old age Patient recovers in most cases if timely given care

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