Exam 21: Anaphylactic Reactions

Within the body, the release of histamine would cause dilation of the:

When the signs and symptoms of anaphylaxis are rapid, the EMT must realize that:

A patient suffers an allergic reaction after taking penicillin. In this case, the penicillin would be recognized as a/an:

Why would the patient experiencing an allergic reaction tell you that it is easier to breathe following administration of epinephrine?

A patient who is responsive to painful stimuli is covered with hives. He has labored respirations and a weak and rapid pulse. His vital signs are: pulse 128, respirations 24, and blood pressure 80/50 mmHg. Given this presentation, the EMT should be suspicious of what condition?

For the EMT to achieve the best results when assisting with epinephrine, the medication should be placed into:

A patient with an allergy to bees and a prescribed Epi-pen was working in the garden when she noted swelling to the right side of her face. Assessment reveals swelling that is red and hot to the right cheek area. Her airway is patent, respirations easy and adequate, and radial pulse strong. Her vital signs are: pulse 76, respirations 16, blood pressure 156/62 mmHg, and SpO₂ at 99%. Which one of the following should you do next?

A patient who is severely short of breath and covered with hives states that she is allergic to crab but tried some crab dip 10 minutes ago. Which one of the following questions would the EMT ask first?

Which statement indicates that the EMT understands airway management in a patient suffering from anaphylaxis?

You are providing bag-valve-mask ventilations to a patient in anaphylactic shock. There is increasing resistance to ventilation, despite using proper technique. Which of the following is the best way to address this situation?

You have been called for a male patient experiencing a severe allergic reaction. The patient is very confused and having great difficulty breathing. He has an epinephrine auto-injector; however, your service does not have protocols related to its use. In EMT class, you went over and passed a test on the use of an epinephrine auto-injector for allergic reactions. In this case, you should:

A patient has just taken her first dose of Zocor for her high cholesterol. Within minutes, she begins to develop hives, shortness of breath, and low blood pressure. In this case, the EMT would recognize a/an:

A patient informs you that he found out he is allergic to certain molds and was prescribed an epinephrine auto-injector. He asks you how the epinephrine will help him the next time he is exposed to mold. Your response would be:

After you assist a patient with his epinephrine auto-injector, which one of the following statements made by the patient best indicates that the epinephrine is working and the patient is improving?

A young female patient, who is allergic to peanuts, was just exposed to peanut butter. Assessment reveals her to be alert and oriented with swollen lips and hives on her face. She is breathing adequately at a rate of 18 breaths per minute and has a heart rate of 82. Your partner advises you that her blood pressure is 118/72 mmHg and room air SpO₂ 92%. She states that she also has asthma for which she uses an inhaler. Of the following, what would you do first?

A mother has called you for her 9-year-old daughter who was stung in the right hand by a bee. She states that her older daughter is allergic to bees and she is scared that the patient may also be allergic, although she has never been stung before. Assessment of the patient reveals a red, painful, and swollen area on the back of the girl's right hand. The primary assessment is unremarkable and her vital signs are normal. The mother hands you her older daughter's epinephrine pen. You would:

Which of the following explains why patients experiencing an anaphylactic reaction have difficulty breathing?

An awake but confused patient experiencing an allergic reaction begins to exhibit stridorous respirations. The EMT knows that the underlying condition responsible for this presentation is:

You have been called to a kindergarten class for a 5-year-old boy who is allergic to peanuts. He ate some in the form of a birthday treat brought to school by a classmate who is celebrating a birthday. From the door of the classroom, you note the patient to have swollen lips and hives to his face and arms. As you begin the primary assessment, which one of the following should you do first?

A 39-year-old female, who is allergic to peanuts, thinks that she may have accidentally ingested some. When assessing her, which statement would be suggestive that the patient is in the early stages of an anaphylactic reaction?