Nursing Management for Anaphylactic Shock
Anaphylactic Shock
Anaphylactic reaction is a clinical syndrome due to an immunological reaction (allergic reaction) which are systemic, fast and furious that can cause respiratory, circulatory, digestive and skin. If the reaction is severe enough to cause shock known as anaphylactic shock which can be fatal. Skin test is one way to avoid this occurrence is not reliable, because it turns out with a negative skin test does not guarantee 100% for no anaphylactic reactions to the full dose. In addition, the skin test alone can cause anaphylactic shock in people with very sensitive. By him it was an attempt to avoid the onset of anaphylactic shock is almost closed for the medical profession who are always dealing with injections. The only way that can help us from this calamity not avoid injecting, because it is a powerful weapon for us, but how we give aid in lege-artist when the incident had happened to us. It required knowledge and skills in the management of anaphylactic shock. This paper will provide simple instructions on efforts to be done in managing anaphylactic shock.
If complications occur anaphylactic shock after conceded allergens, either orally or parenterally, the first act of the most important is to identify and stop contact with allergens that are suspected to cause anaphylactic reactions. Immediately lay the patient on a hard base. Feet higher lift of the head to increase blood flow through the vein, in an effort to improve cardiac output and raise blood pressure.
The next action is the assessment of airway, breathing, and circulation of cardiac pulmonary resuscitation phases to provide basic life support needs.
Airway, airway assessment. Airway must be kept free so that there is no obstruction at all. For patients who are not aware, the position of the head and neck is set so that the tongue does not fall backwards over the airways, ie by doing the triple airway maneuver that is an extension of the head, pulling the mandible forward, and open mouth. Patients with total airway obstruction, should be helped by more active, through endotracheal intubation, cricothyrotomy, or tracheotomy. Breathing support, immediately give artificial breathing assistance if there are no signs of spontaneous breathing, either through mouth to mouth or mouth to nose. In anaphylactic shock with laryngeal edema, can result in airway obstruction total or partial. Patients who experienced a partial airway obstruction, in addition to being helped with medication, should also be given help breathing and oxygen 5-10 liters / min. Circulation support, ie when no palpable pulse in large arteries (a. Carotid or a. Femoral), apply external cardiac compression.
Anaphylactic reaction is a clinical syndrome due to an immunological reaction (allergic reaction) which are systemic, fast and furious that can cause respiratory, circulatory, digestive and skin. If the reaction is severe enough to cause shock known as anaphylactic shock which can be fatal. Skin test is one way to avoid this occurrence is not reliable, because it turns out with a negative skin test does not guarantee 100% for no anaphylactic reactions to the full dose. In addition, the skin test alone can cause anaphylactic shock in people with very sensitive. By him it was an attempt to avoid the onset of anaphylactic shock is almost closed for the medical profession who are always dealing with injections. The only way that can help us from this calamity not avoid injecting, because it is a powerful weapon for us, but how we give aid in lege-artist when the incident had happened to us. It required knowledge and skills in the management of anaphylactic shock. This paper will provide simple instructions on efforts to be done in managing anaphylactic shock.
If complications occur anaphylactic shock after conceded allergens, either orally or parenterally, the first act of the most important is to identify and stop contact with allergens that are suspected to cause anaphylactic reactions. Immediately lay the patient on a hard base. Feet higher lift of the head to increase blood flow through the vein, in an effort to improve cardiac output and raise blood pressure.
The next action is the assessment of airway, breathing, and circulation of cardiac pulmonary resuscitation phases to provide basic life support needs.
Airway, airway assessment. Airway must be kept free so that there is no obstruction at all. For patients who are not aware, the position of the head and neck is set so that the tongue does not fall backwards over the airways, ie by doing the triple airway maneuver that is an extension of the head, pulling the mandible forward, and open mouth. Patients with total airway obstruction, should be helped by more active, through endotracheal intubation, cricothyrotomy, or tracheotomy. Breathing support, immediately give artificial breathing assistance if there are no signs of spontaneous breathing, either through mouth to mouth or mouth to nose. In anaphylactic shock with laryngeal edema, can result in airway obstruction total or partial. Patients who experienced a partial airway obstruction, in addition to being helped with medication, should also be given help breathing and oxygen 5-10 liters / min. Circulation support, ie when no palpable pulse in large arteries (a. Carotid or a. Femoral), apply external cardiac compression.
