ANAPHYLACTIC SHOCK(ANAPHYLAXIS) EMERGENCY MANAGEMENT PROTOCOL,ANAPHYLAXIS REACTION TREATMENT NURSING
Вставка
- Опубліковано 12 чер 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
SUBSCRIBE TO MEDNERD FOR MORE INTERESTING VIDEOS
Emergency Medicine Lectures Playlist :
• Emergency Medicine Lec...
Status Epilepticus Management: • Status Epilepticus Eme...
Cardiac arrest Management: • CARDIAC ARREST EMERGEN...
Heart attack management: • Myocardial Infarction ...
CARDIOLOGY BOOTCAMP VIDEOS:
HEART ATTACK (MYOCARDIAL INFARCTION) EMERGENCY TREATMENT: • Myocardial Infarction ...
A to Z of HEART FAILURE TREATMENT: • Congestive Heart Failu...
Decompensated Heart failure Emergency treatment: • Acute Decompensated He...
Angina and chest pain Evaluation: www.youtube.com/watch?v=AEvVc...
#anaphylacticshock #anaphylacticreaction #anaphylacticshocktreatment #anaphylacticshocktreatmentdrugs #anaphylacticshockmanagement #anaphylacticshockmanagementprotocol #anaphylacticshockemergencymanagement #anaphylaxis #anaphylaxisreaction #anaphylaxisreactiontreatment #anaphylaxisreactionnursing #anaphylacticshocknursing #anaphylacticshockusmle #anaphylaxisreactionusmle #emergencymedicine #emergencymedicinelecture
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
DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON :)
FOLLOW ME ON
Instagram: instagram.com/docwaqasfazal/
Facebook: facebook.com/Drwaqasfazal
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
Zabardast presentation.Thanks Dr.Sahab.JazakAllah!🎉
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.
Nice presentation.
Thanks dr
Very informative. Thank you.
Keep up doc nice explanation
بارك الله فيك❤❤❤
Thank you so much for your valuable knowledge
Amazing presentation sir
Excellent video
Excellent explanation sir
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. 😊 ❤️
Great lecture ❤❤
Sir u r inspiring us to dive in to emergency medicine , making it more ec ,May allah bless u sir ❤
Highly commendable
Doctor Sahab You doing it sooooooo finely, keep it up
Thanks for valuable information
Nice explanation 👍👏👏
Marvelous!!
Excellent and explained in such a simple way, please make more videos 🙏
Thank you Lalit 😊
Perfect thanks a lot doctor 🌺✨
Good tips!
thank you sir, for such a wonderful and Comphernsive lecture
So Nice of you. 😊
Excellent!
Verry good sir
Amazing
Tnx sir for outstanding explanation
amazing
Tooo good
Sir outstanding teaching with excellent conceptual explanation and presentation
I am very because you are my best teacher
So kind of you 😊
Thanks again 🙏
Thanks very much for this wonderful lesson
I read all your comments. So kind of you. Keep supporting 😊
Thank u sir.
Ur best
Thank you so much sir!!!!!Topic is crystal clear for me now sir!!!!Please upload more stuff sir!!!Regards😇😇
Sure I will. Keep supporting 😊
Very good explanation
Thank you Dr. Khalid Ansari 😊
U r really great👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍
So Nice of you Nazia Umar 😊
Jazak Allah ! Could you please do these topics too ( Electrical injury , drowning , carbon monoxide poisoning )
Thank you very much sir
Regard, s excllent illusttation
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?
Thank you
Thanks
Thank you!
Thank u sir
Very informative, impressive and value able, easy to remember
Glad it was helpful!
Sir Plzz upload more videos on emergency medicine
Sir ,thx.for valuable lecture.
Requested to please upload lecture on noradrenalin (norepinephrine) .
Sure Vikram... I will 😊
Thank u for the eye opening video! Can i ask for Iv salbutamol in ur last slide, what is the recommended dosem
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. 😊
good work and impormative continue such topics love u sir
Thank you very much Mohsin Khan for your love and support 😊
amazing!
Can you please make a video on choice of usage of ionotropes in children.
❤
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!
Sir kindly make vedio on hypersensitivity types
Sure Babar Khan. Stay tuned 😊
Waqas bhae if you can provide us the notes of your videos.it will help us alot in revision.. thank you so much
If intubation is difficult then cricithyrodotomy with a wide bore needle can be life-saving.
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.
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
First
Sir please make vedio on dose titration in hypertension and diebetes mellitus
Abhay Kairati,sure I will. 😊
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?
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
Sir can we give Nor adrenaline with a patient having beta blocker since it is a vasoconstrictor and salbutamol?
There is no role of antihistamines like avil in anaphylactic shock..?
Sir plz reply
Adrenalin is Epinephrine
Epifen is gabapantene
Are they same?
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 . 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 ❤
aisa lagata hai ki ,sarswati maiya aapake tounge mein samayee hui hai
Sir what is the reference book which you teach ?
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
What i a cute to cetral vertigo patient.
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 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
How to manage drip reactions
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 💕
pulmonary fuction test
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 ❤
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..??
Sir plz help me mujhe shiver एलर्जी hui h
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 ❤