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Intravenous Infusions and Related Tasks Lesson 3: Initiate Treatment for Anaphylactic Shock 3-3 |
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3-3. TREATMENT PROCEDURES TO FOLLOW FOR ANAPHYLACTIC SHOCK a. Introduction. Anaphylaxis may occur immediately or up to 30 minutes or more after the patient is exposed to the foreign substance. In general, the sooner this reaction occurs following exposure, the more severe the signs and symptoms of the reaction. All patients receiving medication should be observed for at least 15 minutes following administration to identify developing reactions. The steps below should be followed if your patient develops an anaphylactic reaction. b. Survey the Casualty. Before you can do anything for the patient, you must determine what type of reaction he is having. Follow the basic procedures for surveying the casualty. Check the airway and pulse first. c. Identify Signs and Symptoms of Anaphylactic Shock. The medical specialist should identify the following signs and symptoms of anaphylactic shock in the casualty.
d. Treat Anaphylactic Shock. The medical specialist will immediately treat anaphylactic shock as follows:
e. Transport. Unless contradictory to local policy, start supportive treatment and transport as soon as possible.
f. Record Treatment. Record the treatment administered in the patient's health record. If you can determine what drug or food caused the anaphylactic shock, enter that into the record and flag the record appropriately. g. Evacuate Casualty. If you did not evacuate the patient earlier to a comprehensive medical treatment facility, do so at this time. Since symptoms will return in about 20 percent of patients experiencing an anaphylactic reaction, the doctor may require admission for observation and further treatment.
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