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Anaphylaxis is an acute clinical syndrome resulting from the interaction of an allergen and a patient who is sensitive to that allergen. (Keenan-Lindsay et al., 2022). An anaphylactic reaction can be the result of exposure to antigens such as medications, latex, foods, venom from bees, snakes, and biological agents. (Keenan-Lindsay et al., 2022). In the event an anaphylactic reaction occurs, it is crucial to act fast. According to Keenan-Lindsay et al. (2022) goals of treatment for an anaphylactic treatment include providing ventilation, restoring adequate circulation, and preventing further exposure. Epinephrine is first line treatment for anaphylaxis. Epinephrine should be administered early once symptoms of anaphylaxis have been recognized or suspected. (Dodd et al., 2021).
Epinephrine can be administered intramuscularly (IM), subcutaneously (SC), or intravenously (IV). Immediate intervention and medical therapy are responsibilities of the nurse. A child experiencing an anaphylactic reaction should ensure ventilation by elevating the head of the bed to facilitate breathing and administer oxygen. (Keenan-Lindsay et al., 2022). CPR is to be initiated if the child stops breathing. An IV should be initiated, if an IV is unable to be initiated, epinephrine can be given subcutaneously. The nurse should monitor the child's urinary output and vital signs frequently. (Keenan-Lindsay et al., 2022).
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