emDocs - October 28, 2016 - Authors: End B and Conroy M
Edited by: Robertson J and Koyfman A
..."How we can improve
- Severe allergic reactions and anaphylaxis share very similar presentations, are both life threatening, and require immediate lifesaving treatment with epinephrine.
- Avoid a slow progression to epinephrine by thinking alternative medications (Benadryl, H2 antagonists, steroids) will work. The time of onset of these medications is too long to prevent severe reactions.
- Consider glucagon for anaphylactic reactions in patients on beta-blockers.
- The anaphylactic reaction itself is often responsible for coronary vasospasm and arrhythmia Do not avoid giving epinephrine because of these potential rea ctions.
- Always prescribe Epi-pen® to all allergic reaction patients. Make sure to counsel these patients on its use in potential future episodes."