Eval and Treat: Anaphylaxis

Step One

Take history (key: allergies)

Step Two

Assess ABC’s must be verbalized

What are your ABCs?

Airway, Breathing, Circulation

What are the three things you check for airway?

• Swollen tongue

• difficulty swallowing, throat tightness

• change in voice (hoarse/croaky)

What are the five things you check for breathing?

• Difficulty breathing

• Chest tightness

• Noisy breathing

• Persistent cough

• Wheezing

What are the four things you check for circulation?

• Feeling dizzy or faint

• Collapse

• Loss of consciousness

• Pale

Step Three

Activate EMS

What location do you say when activating EMS?

Horn High School, 3300 E. Cartwright

Step Four

Administer Epi-Pen correctly

How do you administer the Epi-Pen correctly?

Blue to the sky, orange to the thigh

Step Five

Write down time administered

Final step

Recheck ABCs

What are key symptoms for anaphylaxis?

• Swelling of throat and tongue

• Skin that feels cold to the touch

What do you ask if they’re allergic to?

insects, foods, drugs, allergenic extracts, biologics like insulin, vaccines, or latex.

Repeat aloud: Evaluation should include the upper and lower airways (evidence of edema, stridor, dyspnea, wheezing, or apnea), the cardiovascular system (hypotension or syncope), the skin (urticaria, angioedema, or flushing), the gastrointestinal system (vomiting and diarrhea), and the state of consciousness.

Evaluation should include the upper and lower airways (evidence of edema, stridor, dyspnea, wheezing, or apnea), the cardiovascular system (hypotension or syncope), the skin (urticaria, angioedema, or flushing), the gastrointestinal system (vomiting and diarrhea), and the state of consciousness.

What three body systems do you check?

Integumentary, respiratory, and gastrointestinal

Integumentary symptoms:

• rash, pruritus, erythema, hives

• swelling of the face, lips, tongue, or uvula

Respiratory symptoms:

• Dyspnea, wheeze, stridor

• persistent cough or throat clearing can be heralding symptom

Gastrointestinal symptoms:

• Persistent painful cramps or vomiting