Anaphylaxis can be very life threatening if not addressed immediately and consciously by the health care team. It is a very serious allergic reaction to a different allergen which one can get through inhalation, ingestion, injection or simple skin contact. It could be gotten from food, medical treatments, latex, insect bites and toxic body transfusions.
There are two types of anaphylaxis, one is local reaction which includes urticatia in the affected site and swelling. This however is not fatal compared with the second type which is the systemic reaction and this is the one that should be addressed immediately.
It could be mild, moderate and severe depending on the amount of allergen the patient has been exposed to. Mild attacks can occur after 2 hours of exposure which includes subtle signs of reactions like nasal congestion, periorbital swelling, sneezing, pruritus and peripheral tingling.
Moderate attack also occur after two hours but has different symptoms like cough, wheezing and mild dyspnea. On the other hand, severe attacks include bronchial and laryngeal spasm, severe dyspnea as manifested by cyanosis of the nail beds, hypotenstion, dysphagia, vomiting which can progress to cardiac arrest.
Anaphylaxis Nursing Care Plan – Ineffective Airway Clearance Secondary to Airway Spasms Secondary to Anaphylaxis
Here is an example of a nursing care plan for patient who had an anaphylactic reaction. (Severe Case)
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