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Anaphylactic Shock

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Marie Bagunu
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6 views2 pages

Anaphylactic Shock

Uploaded by

Marie Bagunu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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LOVELY JOY M. GUIUO / JUVYLYN P.

UY BSN 4B-GROUP 6

IMMEDIATE NURSING INTERVENTIONS FOR ANAPHYLACTIC SHOCK IN EMERGENCY SITUATION.

1. Ensure Airway, Breathing, and Circulation (ABC).

 Airway Management
- Assess for airway obstruction like swelling and tongue edema.
- Prepare for advanced airway management (intubation or tracheostomy) if obstruction is
severe.
 Breathing
-Administer 100% oxygen via a non-rebreather mask to maintain oxygenation.
 Circulation
- Place the patient in a supine position with legs elevated to enhance venous return (unless
contraindicated, e.g., respiratory distress or vomiting).

2: Administer Epinephrine Immediately (First-Line Medication).

 Epinephrine Dosage:
- Adult: 0.3–0.5 mg IM (mid-outer thigh).
- Pediatric: 0.01 mg/kg IM (max dose: 0.3 mg).
- Repeat every 5–15 minutes as needed, monitoring response.

Rationale: Epinephrine is the drug of choice to reverse bronchospasm, hypotension, and vasodilation.

3: Establish IV Access and Administer IV Fluids.

 Insert a **large-bore IV catheter (18- or 20-gauge).


 Initiate IV fluids to address hypotension:
- Use Normal Saline or Lactated Ringer’s.
- Start with a bolus of 1–2 liters for adults or 20 mL/kg for children.

4: Administer Adjunct Medications.

 Antihistamines (for allergic symptoms)


- Diphenhydramine
- Adult: 25–50 mg IV or IM.
- Pediatric: 1–2 mg/kg IV or IM (max dose: 50 mg).
 Corticosteroids (to prevent delayed reaction)
- Hydrocortisone
- Adult: 200 mg IV.
- Pediatric: 2–4 mg/kg IV.
 Bronchodilators (if bronchospasm is present)
- Nebulized Salbutamol
- 2.5 mg nebulized every 20 minutes as needed.

5: Continuous Monitoring and Support

 Monitor Vital signs (blood pressure, heart rate, respiratory rate, oxygen saturation).
 Monitor for Signs of worsening anaphylaxis, including shock or cardiac arrest.
 Be prepared to perform CPR if cardiac arrest occurs.
 Assist with advanced interventions like intubation or mechanical ventilation.

Medications for Stabilization in Emergency Situations.

1. Epinephrine (IM)- First-line treatment to reverse life-threatening symptoms.


2. Normal Saline/Lactated Ringer’s (IV) - To manage hypotension and hypoperfusion.
3. Diphenhydramine (IV/IM)- For allergic reactions (e.g., hives, itching).
4. Hydrocortisone (IV)- To prevent delayed symptoms.
5. Salbutamol (Nebulized)- For bronchospasm if present.

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