Question

Explain in detail what you would do in each of the following situations. You may have to do additional research in order to answer the questions appropriately.

2. John Phillips is mowing the grass and mows over a yellow jacket nest. He is stung twice and soon afterward starts complaining of intense itching and exhibits erythema and hives on his arms, torso, and face.

Answer 1

2. John Phillips is having mild anaphylaxis reaction .

Epinephrine is the gold standard of treatment. I would administer epinephrine to the patient .

Recommended dose is 0.3-0.5mL of 1:1000 (1mg/mL)

Administered IM in anterior or lateral thigh, Q5-15 Min.

#. In case of severe anaphylaxis reaction , the management includes :-

Epinephrine

High-flow oxygen in respiratory distress or hemodynamically unstable patients.

Inhaled B2 agonists (albuterol)

Antihistamines

Corticosteroids