ANAPHYLACTIC SHOCK(ANAPHYLAXIS) EMERGENCY MANAGEMENT PROTOCOL,ANAPHYLAXIS REACTION TREATMENT NURSING
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- Опубліковано 19 лип 2024
- ANAPHYLACTIC SHOCK(ANAPHYLAXIS) EMERGENCY MANAGEMENT PROTOCOL,ANAPHYLAXIS REACTION TREATMENT NURSING
In this video on anaphylactic shock (anaphylaxis reaction) I have talked in detail bout causes triggers and treatment and management protocol of anaphylactic reaction. Anaphylaxis reaction treatment and management is highly tested topic on usmle exams and nursing exams. therefore, in this video on anaphylactic shock emergency management I have discussed how to manage an anaphylactic reaction step by step. Type 1 hypersensitivity reaction is involved in pathogenesis of anaphylaxis. Emergency medicine Lecture series is clinically oriented with a practical approach so that doctors can bravely handle any emergency within and outside the hospital.
Chapters:
(0:00) What is Anaphylactic Shock
(1:16) Causes and Triggers of Anaphylactic reaction
(1:52) Sign & Symptoms of Anaphylaxis
(3:27) Treatment of Anaphylactic Shock
(7:30) How to discharge a patient with anaphylaxis?
(8:13) Impotant Point
(9:05) Summary
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IMPORTANT CLINICAL POINTS:
Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy, effective)
Recommended Doses:
Child less than 6 years old: 150 micrograms IM (0.15ml 1 in 1000)
Child 6 to 12 years old: 300 microgram IM (0.3ml 1 in 1000),
Child more than 12 years and Adults: 500 microgram IM (0.5ml 1 in 1000), This Equates to 0.5mg
Adrenaline First, then Chlorphenamine
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Do we need to dilute adrenaline?
Thank you so much sir for your efforts .
Is there any role of ionotropic agents such as dopamine?
P PPPpppppp
To prevent anaphlacting shock can we give any anti allergic medicine prior to give any I/v medicine which you mentioned in your list probably causing anaphlacting shock
what i've learned from the video:
1-anaphylactic shock is acute systemic IgE mediated type I hypersensitivity reaction occuring within minutes to seconds after being exposed to a foreign substance
2- release of histamine in anaphylactic shock causes wheezing, cyanosis, oedema and urticaria
3- management of anaphylactic shock is done by securing airway, give 100% oxygen and intubate if there is still respiratory depression, remove the cause if possible and raise the patients feet to increase the blood flow to the brain
4- give adrenaline intramuscular 0.5 mg and repeat every 5 minutes if no improvement occurs
5- give phenylamine which is an antihistamine to antogonize the action of histamine
6- give hydrocortisone 200mg to suppress the immune response to the allergen
7- give fluids 0.9% to support the blood pressure
8- if the patient is on beta blockers give him Iv salbutamol instead of adrenaline
Excellent job doc sahib
I m 60 plus dr I find ur videos very helpful in day to day practice though I m a radiologist
Thanks a lot
Thank you very much sir.. I am very happy to hear that. 😊
Excellent presentation.Very clear explanation. Thank you,Sir.
Zabardast presentation.Thanks Dr.Sahab.JazakAllah!🎉
Thank you so much for your valuable knowledge
Thank you very much sir for your crystal clear practical approach of teaching every topic which is useful in clinical practice
Thank you very much. I am glad that you found my videos helpful. I read your all kind comments. So Nice of you. 😊 ❤️
Nice presentation.
Thanks dr
Keep up doc nice explanation
Sir u r inspiring us to dive in to emergency medicine , making it more ec ,May allah bless u sir ❤
Very informative. Thank you.
Excellent explanation sir
Excellent video
Amazing presentation sir
Highly commendable
بارك الله فيك❤❤❤
Doctor Sahab You doing it sooooooo finely, keep it up
Marvelous!!
Great lecture ❤❤
Excellent and explained in such a simple way, please make more videos 🙏
Thank you Lalit 😊
Thanks for valuable information
Tq very much sir... Very well explained. ..
Nice explanation 👍👏👏
thank you sir, for such a wonderful and Comphernsive lecture
So Nice of you. 😊
Excellent!
Good tips!
Jazak Allah ! Could you please do these topics too ( Electrical injury , drowning , carbon monoxide poisoning )
Perfect thanks a lot doctor 🌺✨
Thank you so much sir!!!!!Topic is crystal clear for me now sir!!!!Please upload more stuff sir!!!Regards😇😇
Sure I will. Keep supporting 😊
Verry good sir
Thank you so much sir. One question please, a couple days ago, we had a patient who was presented to the ER with dyspnea after an allergic reaction to a contrast dye. The thing is that he was hypertensive not hypotensive. His blood pressure was 180 over 100 !.
So the question is, is it also possible for an anaphylactic patient to present with hypertension instead of hypotension?? And does the treatment differ in such case, so can we still give normal saline or Adrenaline?
Sir outstanding teaching with excellent conceptual explanation and presentation
I am very because you are my best teacher
So kind of you 😊
Amazing
Tnx sir for outstanding explanation
amazing
Thanks again 🙏
Thank u sir.
Ur best
Thanks very much for this wonderful lesson
I read all your comments. So kind of you. Keep supporting 😊
Respected Waqas Sir , I am Ravi from Bengaluru and i recently had this Shock . It was by far the one of the most nightmarish situation i have ever experienced. I was literally did not know what to do and I was completely dizzy and for few minutes lost conscious with heavy sweating and already by uritcaria made it unbearable itching. You video has helped me a lot sir for information. May god bless you .
Sir my only question is weather this is treatable or not like what should be the idealy way for long term solution
Very informative, impressive and value able, easy to remember
Glad it was helpful!
Tooo good
Thank you very much sir
Can you comment or update a video on diagnosing and treating an anaphylactic reaction to alpha-gal allergy from tick bite. This is not as easily diagnosed as other almost immediate allergic reactions as it can take 4-5 hours from the time the red meat trigger was consumed to onset of symptoms and anaphylaxis quickly follows onset. I have alpha-gal, have an epipen, prednisone, Benadryl, and Famotidine in my treatment bag. Dark meat pork is my highest trigger but every once in a while I will build up a higher level sensitivity and have to come off Pork for 6-12 months. Other red meats test much lower on blood test. I have had two hospitalizations in the past 3 years for Anaphylaxis. This past 4th I ate some food that had been cross contaminated and noticed itchy eyes, ears, and a rash starting. I took 50mg benadryl, 40mg pred, and Famotidine, and repeated 4 hours later.
Avoided a trip to the ER and was back to normal 24 hours later after taking 25mg of Benadryl the next day qid. I find 50% of the urgent care PA’s have never heard of it and over 30% of internal medicine doctors still today in 2024. 😅
U r really great👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍
So Nice of you Nazia Umar 😊
Thanks a lots sir ❤
Thank u for the eye opening video! Can i ask for Iv salbutamol in ur last slide, what is the recommended dosem
Thank you!
Very good explanation
Thank you Dr. Khalid Ansari 😊
Sir ,thx.for valuable lecture.
Requested to please upload lecture on noradrenalin (norepinephrine) .
Sure Vikram... I will 😊
Regard, s excllent illusttation
Thank u sir
♥️♥️♥️
Thanks
❤
Thanks million time sir ....i first time came to knw that instead of epi. We can give slbutamol n pt on b blocker...
Ramiz Khan I am glad you found it helpful. 😊
Thank you
If intubation is difficult then cricithyrodotomy with a wide bore needle can be life-saving.
Can you please make a video on choice of usage of ionotropes in children.
Sir Plzz upload more videos on emergency medicine
Btw the asthma treatment, u meant was for acute asthma attack or asthma. And according to gina2022 ics plus a laba such as fulmetrol given now
Waqas bhae if you can provide us the notes of your videos.it will help us alot in revision.. thank you so much
Sir
Excellent teacher
Blessed to. Listen
Are there short practical courses in your hospital
I am from AP
Can you do a video on rabdo, gi bleed and burns in the er i would greatly appreciate it your videos are beautiful!
I already have a video on esophageal varices bleed and will surely upload more videos on the above mentioned topics. 😊
@@MedNerdDrWaqasFazal thank you so much!
First
Aoa thanks ❤❤❤❤
Sir can we give avil(pheniramine maleate)/chlorpheniramine/promethazine injections for allergic reactions triggered by cns depressant drugs like dicyclomine/pregabalin/clonazepam/tramadol/muscle relaxants(thiocolchicoside/tizanidine/chlorzoxazone) etc...and if yes then should we need dose adjust ment aof antihistamines for that.
good work and impormative continue such topics love u sir
Thank you very much Mohsin Khan for your love and support 😊
We can't give directly Adeline to the patient so u should explain how it's is given
Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy, effective)
Recommended Doses:
Child less than 6 years old: 150 micrograms IM (0.15ml 1 in 1000)
Child 6 to 12 years old: 300 microgram IM (0.3ml 1 in 1000),
Child more than 12 years and Adults: 500 microgram IM (0.5ml 1 in 1000), This Equates to 0.5mg
Adrenaline First, then Chlorphenamine
What is the sulbutamol dose and is it given stat or in infusion.. Plz tell us about dose
Aslam alekum sir
Sir what will be dose of salbutamol in patients already on beta blocker and can we repeat like adrenaline
Sir can we give Nor adrenaline with a patient having beta blocker since it is a vasoconstrictor and salbutamol?
Sir please make vedio on dose titration in hypertension and diebetes mellitus
Abhay Kairati,sure I will. 😊
amazing!
Sir kindly make vedio on hypersensitivity types
Sure Babar Khan. Stay tuned 😊
There is no role of antihistamines like avil in anaphylactic shock..?
Sir what if there is only cutaneous manifestations lip , eyelid edema, erythema, urticaria but no hypotension. Do we still give adr. And what about investigations?
Sir could you please explain the mg /kg body weight and also conversion eg 0.01 ,0.25,etc how to give , im requesting you sir please make. Another video above request
Sir . I am from Bangladesh 🇧🇩 I really like your videos. Sir , Exactly 4 month ago I took a Rabies Ig vaccine then suddenly I feel Dizzy and chest pain .And i was seat down immediately on chair. After 2-3 minutes I started to feel good. I was not going to the hospital this time. I had no skin rash nothing. Just suddenly feel dizzy and had chest pain for 2 minutes. Now after 4 months I have no skin rash. Does it was Anaphylaxis or something? I will be waiting for your Ans. Thank you ❤
Sir plz reply
Adrenalin is Epinephrine
Epifen is gabapantene
Are they same?
Can you please tell us about the doses of these medications for infants and children presented with anaphylactic shock in ER
Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy, effective)
Recommended Doses:
Child less than 6 years old: 150 micrograms IM (0.15ml 1 in 1000)
Child 6 to 12 years old: 300 microgram IM (0.3ml 1 in 1000),
Child more than 12 years and Adults: 500 microgram IM (0.5ml 1 in 1000), This Equates to 0.5mg
Adrenaline First, then Chlorphenamine
@@MedNerdDrWaqasFazal
After how much time we can repeat dose if patient isn't relieving
Good information. Can anti-histamine tablets help, if patient had a reaction and is away from hospital?
Antihistamine tablets Can be used if patient is not having respiratory airway edema to manage anaphylaxis. If there's respiratory edema then the best thing is epinephrine! Antihistamine won't be effective in such case.
Sir what is the reference book which you teach ?
aisa lagata hai ki ,sarswati maiya aapake tounge mein samayee hui hai
How to manage drip reactions
What i a cute to cetral vertigo patient.
Sir how to give adrenaline iv infusion , at how much rate
Not having parmanent treatment?
Sir acute pancreatitis very much needed
It has been uploaded. Please check 😊
Thanks sir 💕
Sir plz help me mujhe shiver एलर्जी hui h
pulmonary fuction test
If the patient is cyanosis, there must be respiratory accidosis. You must give sodium bicarbonate 200 ml infusion immediately.
Not always cynosis is with resp acidosis...if the patient already with low HB..??
What is difference if we give phenaramine instead of chlorphenaramine
Can phenaramine causes hypotension?
If patient is in shock, he is in tachycardia and in such patient if we give adrenaline that will cause further tachycardia... How to manage that
Pls sir do reply.. I m in search of answer of these questions
Thanks a lot ❤
Ooomo
Can translated to arabic?
Ye tho pakistani hai
Words not clear.
Please trying using headphones
Sir u r inspiring us to dive in to emergency medicine , making it more ec ,May allah bless u sir ❤