&nbsp;
<h6>Pathophysiology: Anaphylaxis is a sudden and severe allergic reaction. When the allergens enter the body there is a rapid inflammation and vasodilation.</h6>
Overview
<ol>
<li style="font-weight: 400;">Severe, extreme allergic reaction</li>
<li style="font-weight: 400;">Life-threatening if untreated</li>
</ol>
<h3>Nursing Points</h3>
<h4>General</h4>
<ol>
<li style="font-weight: 400;">Massive histamine release from damaged cells
<ol>
<li style="font-weight: 400;">Swelling</li>
<li style="font-weight: 400;">Inflammatory Response</li>
<li style="font-weight: 400;">Vasodilation
<ol>
<li style="font-weight: 400;">Massive vasodilation can lead to a distributive shock</li>
</ol>
</li>
</ol>
</li>
<li style="font-weight: 400;">Causes
<ol>
<li style="font-weight: 400;">Medications</li>
<li style="font-weight: 400;">Food</li>
<li style="font-weight: 400;">Beestings</li>
<li style="font-weight: 400;">Latex &#8211; assess ALL patients for latex allergy on admission</li>
</ol>
</li>
</ol>
<h4>Assessment</h4>
<ol>
<li style="font-weight: 400;">Urticaria (hives)</li>
<li style="font-weight: 400;">Angioedema (facial swelling)
<ol>
<li style="font-weight: 400;">Lips, tongue, mouth, throat</li>
<li style="font-weight: 400;">Risk for airway compromise</li>
</ol>
</li>
<li style="font-weight: 400;">Skin Flushing</li>
<li style="font-weight: 400;">Risk for Anaphylactic Shock
<ol>
<li style="font-weight: 400;">Hypotension</li>
<li style="font-weight: 400;">Cardiac Arrest</li>
</ol>
</li>
</ol>
<h4>Therapeutic Management</h4>
<ol>
<li style="font-weight: 400;">Assess client for allergies
<ol>
<li style="font-weight: 400;">Patch test &#8211; expose to multiple allergens to determine allergies</li>
<li style="font-weight: 400;">Stop antihistamines for 2 days prior</li>
</ol>
</li>
<li style="font-weight: 400;">Monitor respiratory and cardiovascular status</li>
<li style="font-weight: 400;">Administer Epinephrine IM immediately
<ol>
<li style="font-weight: 400;">Adults &#8211; 0.3 mg 1:1000</li>
<li style="font-weight: 400;">Children &#8211; 0.15 mg 1:1000</li>
<li style="font-weight: 400;">EpiPen Auto-injector</li>
<li style="font-weight: 400;">Goal = prevent life-threatening airway collapse or shock</li>
</ol>
</li>
<li style="font-weight: 400;">Administer Oxygen</li>
<li style="font-weight: 400;">Administer Antihistamines</li>
<li style="font-weight: 400;">Administer Corticosteroids</li>
<li style="font-weight: 400;">Administer IV Fluids as needed to support hemodynamics</li>
<li style="font-weight: 400;">May require intubation or tracheostomy for airway protection</li>
</ol>
<h4>Nursing Concepts</h4>
<ol>
<li style="font-weight: 400;">Immunity</li>
<li style="font-weight: 400;">Oxygenation</li>
<li style="font-weight: 400;">Perfusion</li>
</ol>
<h3>Patient Education</h3>
<ol>
<li style="font-weight: 400;">Avoid allergens</li>
<li style="font-weight: 400;">Medical alert bracelet</li>
<li style="font-weight: 400;">Take antihistamines as prescribed</li>
<li style="font-weight: 400;">Proper use and storage of EpiPen Auto-injector</li>
</ol>
<div style="margin-top: 20px; margin-bottom: 20px; width: 100%;background:white;border-radius:4px;padding:20px">
 <center>
 Want to learn more? View a suggested lesson<h4 style="margin: 10px;"><a href="https://admin.nursing.com/lesson/nursing-care-plan-for-anaphylaxis/" style="text-decoration:none;">Nursing Care Plan (NCP) for Anaphylaxis</a></h4></center>
 </div>

Med-Surg | Hematology / Oncology / Immunology

03-03-nursing-care-and-pathophysiology-for-anaphylaxis

03.03 Nursing Care and Pathophysiology for Anaphylaxis

In this course, you'll be able to learn different mnemonics that will help you to remember the need to know nursing information!

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Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

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Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

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Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

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Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

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Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

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Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

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Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

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Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

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CHF Treatment Nursing Mnemonic (UNLOAD FAST)

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Cyanotic Defects Nursing Mnemonic (The 4 T’s)

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Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

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Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

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Heart Failure – Right Sided Nursing Mnemonic (HEAD)

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Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

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Hypertension- Complications Nursing Mnemonic (The 4 C’s)

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Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

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Increase MAP Nursing Mnemonic (VAK)

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Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

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Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

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Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

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Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

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Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

Cardiovascular (Cardiac, CVD) Mnemonics

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Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

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Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

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Arterial Blood Gases Nursing Mnemonic (ROME)

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Blood Type O Nursing Mnemonic (Universally Odd)

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Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

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Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

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Hyperkalemia – Management Nursing Mnemonic (AIRED)

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Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

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Hypernatremia – Causes Nursing Mnemonic (MODEL)

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Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

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Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

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Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

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Electrolytes & Labs Mnemonics

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Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

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Bleeding Precautions Nursing Mnemonic (RANDI)

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Canes Nursing Mnemonic (COAL)

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Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

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CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

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Community Health Tool Nursing Mnemonic (MAP-IT)

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Environmental Health Assessment Nursing Mnemonic (I PREPARE)

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Exercise Guidelines Nursing Mnemonic (FIT)

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Fire Safety 1 Nursing Mnemonic (PASS)

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Fire Safety 2 Nursing Mnemonic (RACE)

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Gluten Free Diet Nursing Mnemonic (BROW)

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IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

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Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

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Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

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Pain Assessment Questions Nursing Mnemonic (OPQRST)

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Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

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Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

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Pupil Reactions Nursing Mnemonic (PERRLA)

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Safety Check Nursing Mnemonic (MADLE)

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SBAR Communication Nursing Mnemonic (SBAR)

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Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

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Stoke Assessments Nursing Mnemonic (FAST)

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Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

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Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

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Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

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Trauma – Complications Nursing Mnemonic (TRAUMATIC)

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Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

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Triage Nursing Mnemonic (START)

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Walkers Nursing Mnemonic (Wandering Wilma Always Late)

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OLD CARTS Mnemonic (OLD CARTS)

Fundamentals & Nursing Process Mnemonics

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Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

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Appendicitis – Assessment Nursing Mnemonic (PAINS)

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Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

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Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

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Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

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Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

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Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

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Diarrhea – Treatment Nursing Mnemonic (BRAT)

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Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

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Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

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GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

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Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

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Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

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Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)

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