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20 Cards in this Set
- Front
- Back
Which of the following meds for tx allergic reactions and anaphylaxis also relieves the abd cramping associated with both?
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Diphenhydramine
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Which pt would benefit the most from the administration of Dopamine 2-20mcg/kg/min IV?
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24y/o in anaphylactic shock refractory to epi and diphenhydramine
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Your pt is experiencing profuse hives, itching, dyspnea, coughing, tachycardia and dizziness after eating seafood 5 min ago. you might also expect to see all of the following signs except?
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hypertension
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___________ is a potentially life-threatening condition involving the head, neck, face and upper airway.
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Angioedema
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Which of the following statements about corticostreroid use in anaphylaxis tx is true
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corticostreroids can reduce the inflammation associated with anaphylaxis
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Immunity resulting from a direct attack on a foreign substance by specialized cells in the immune system is
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cellular immunity
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Upon identifying an antigen in the bloodstream, B cells launch a chemical attack by producing antigens specific to the antibody. this is an example of ____________ immunity.
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humoral
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22y/o female pt stung by a hornet. states she has allergies to bee stings and was told she could die if stung. exam reveals a red, edematous area 1cm in diameter where she was stung. skin warm and dry, lungs clear = bilat. HR 112 amd reg. BP 122/82, RR 12 and reg, SaO2 98%. The most appropriate tx for this pt would include?
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100% O2 via NRB, Monitor, IV Of NS KVO, Transport
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Which med would be the best choice for reducing the bronchospasm associated with anaphylaxis
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Albuterol
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____________ is considered an ominous sign late in anaphylaxis
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Bradycardia
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Male pt with puncture wound to foot from a nail. Pt visiting from El Salvador never recieved a tetanus vac. ER administered tetanus immune globulin and tetanus vac. Which of the following best describes the rationale for this tx.
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tetanus immune globulin provides immediate protection. tetanus vac provides passive immunity by producing tetanus specific antibodies
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60y/o male pt, conscious and alert sitting on toilet. Appears moderate distress c/o nausea and diarrhea. Pt allergic to eggs and ate pancakes made with eggs this am. Describes 4 hour hx of severe diarrhea and vomiting. HR 124 BP 92/60, RR 16, SaO2 98%. Exam no urticaria or angioedema, skin cool and clammy, lungs clear. Based on these findings what should be your greatest concern
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Acute dehydration and cardiovascular collapse
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Which of the following signs indicates aggressive airway maintenance in a pt experiencing an anaphylactic reaction
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Stridor
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Which tx would best halt the urticaria associated with an allergic reaction
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Epi SQ and diphenhydramine IM
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An allergen's most common route of entry in a anaphlylactic reaction is
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injection
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Diphenhydramine is administered in anaphylaxis because it
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all the above
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Approximatley ________ deaths are attributed annually to anaphylaxis in the US
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400-800
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Which sign associated with an allergic reaction should be concern a caregiver the most
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Wheezing
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Which of the following is the best route for administering epi to pts in severe anaphlactic shock
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IV
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All of the following meds should be used in the initial tx of hypotension in pts with anaphylactic shock except
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Solu-medrol
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