Exam 20: Allergic Reaction

Which of the following does NOT commonly lead to anaphylaxis?

Which of the following is MOST likely to be a complaint of a patient suffering from anaphylaxis?

After activating the auto-injector,how long should it be held in place before removing it from the patient's thigh?

You are called to a farmhouse on a sunny spring afternoon.Upon arrival,a frantic mother tells you that her 3-year-old daughter was playing in the yard,accidentally stepped on a hornets' nest,and was stung repeatedly.The patient is alert,screaming and crying,and can follow her mother's commands.Her arms and legs are swollen and show the marks of several stings.Her body is covered in hives.Her vital signs are blood pressure 90/40,pulse 110,respiratory rate 24,and oxygen saturation 99%.Her lung sounds are clear and equal bilaterally.Her mother states she put "nox-a-sting" on the bites but the bites only seemed to get worse.What condition is the patient suffering from?

You are on the scene of a 22-year-old female patient who is unresponsive.The patient's mother states that she is deathly allergic to peanuts and accidentally ate stir fry cooked in peanut oil.The patient is unresponsive with agonal respirations at 6 per minute.What is your first action?

Your patient is a 7-year-old girl who was prescribed an antibiotic for an ear infection.After 4 days on the antibiotic,the patient is experiencing hives and itching on her face,throat,and neck.Which of the following should you do?

You are called to the local park on a hot summer day for an 8-year-old child in respiratory distress.The child can barely speak and appears to be getting sleepy.Vital signs are blood pressure 90/60,pulse 120,and respiratory rate 32.Your physical exam reveals a swollen tongue,inspiratory stridor,wheezing,and hives on the neck and chest.What condition do you suspect?

When documenting the administration of an epinephrine auto-injector,which of the following should be included?

As you prepare to enter a patient's room in a nursing home,you see a sign posted on the door indicating that the patient has a latex allergy.Which of the following is the BEST way to care for the patient?

A 35-year-old female has just eaten lobster and is now complaining of itchy,watery eyes.Her blood pressure is beginning to fall,but she denies difficulty breathing.Which of the following best describes her condition?

You are called to a residence for a 60-year-old male complaining of chest pain.You find the patient seated in bed.His past medical history includes hypertension and high cholesterol.The patient presents with hives over the chest,stridor,a swollen tongue,and wheezing in the upper fields.He denies any shortness of breath or respiratory distress,but does so in short two to three word statements.What condition do you suspect?

Which of the following is the result of histamine and other chemicals in the body during anaphylaxis?

You are on the scene of a 40-year-old male patient who is anaphylactic and still unresponsive following a single epinephrine injection.You had inserted an oral airway and administered oxygen at 15 liters per minute by bag-valve mask and your partner found diminished lung sounds.After the epinephrine administration your partner reassesses lung sounds and tells you that the patient is now wheezing loudly in all fields.What is the next action you should perform?

Which of the following is the proper method of disposing of a used epinephrine auto-injector?

You are unsure if a patient's condition requires the administration of an epinephrine auto-injector.Which of the following actions is most appropriate?

Which of the following is a general term for a substance to which the body may have an anaphylactic reaction?

Which of the following changes commonly occurs in the cardiovascular system during anaphylaxis?

What is another name for a severe allergic reaction?

You have responded to a park where you find a 23-year-old female sitting on a bench near a running trail.She states that she has been running for the past 30 minutes,and all of a sudden she cannot catch her breath.She states that this has never happened before and she usually runs 5 miles a day.Your assessment reveals that she is flushed,her pulse is fast and weak,her respirations are fast and she is wheezing,and she has hives on her arms and chest.She is most likely suffering from which of the following?

You are treating a 28-year-old female who is 34 weeks pregnant.She has a history of bee sting anaphylaxis and was stung by a bee while in the garden.She is having severe respiratory distress and her blood pressure is 72/50 mmHg.Which of the following is the BEST option for the EMT?