Definition

A severe , life threatening, generalised or systemic hypersensitivity reaction

Approach

A-Airway

B-Breathing

C-Circulation

D-Sisability

E-Exposure

Diagnosis

Look for:

> Acute onset of illness

> life threatening airway and / or breathing

and circulatory problems

and usually skin changes

airway__ swelling,hoarseness, stridor

breathing__rapid breathing, wheeze, fatigue, cyanosis, spo2<92%,confusion

circulation__ pale, clammy, low blood pressure, faintness, drowsiness

Treatment

1. Adrenaline: .5 ml (500 micrograms) IM 1:1000

2.IV fluid challenge 500 - 1000 ml

3.Chlorphenamine 10 mg IM or slow IV

4.Hydrocortisone 200 mg IM or slow IV

Adrenaline 

Establish airway

Highflow oxygen

IV fluid challenge

Chlorphenamine

Hydrocortisone

Monitor

Pulse oximetry

ECG

Blood Pressure