Generalized Urticaria and Decreased Consciousness After Barbecue
2019
When no suspected allergen exists or the patients is not identified as being allergic to the exposed substance, the diagnosis of anaphylaxis is based on mucocutanous manifestations and at least one of the respiratory or cardiovascular systems
When there is a history of exposure to a likely/common allergen, the diagnosis is confirmed by involvement of two of the cutaneous, respiratory, cardiovascular, and gastrointestinal systems
Following exposure to a known allergen for that patient a decrease in blood pressure (hypotension) is enough to start treatment
Intravenous fluids, antihistamines, glucocorticoids and inhaled short-acting beta agonists, as well as high flow oxygen are second-line options for management of an anaphylactic reaction
Previous use of beta blockers, angiotensin converting enzyme inhibitors, or non-steroidal anti-inflammatory drugs report of a more severe anaphylactic attack
Provide the patient with anaphylactic attack with an autoinjector epinephrine and refer him/her to an allergist upon discharge from emergency department
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