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WELCOME
ALLERGY &
ANAPHYLAXIS
ASEEM.B,
ASSISTANT PROFESSOR,
SP FORT COLLEGE OF NURSING,
THIRUVANANTHAPURAM.
THOSE WHO ARE SLEEPING PLEASE
WAKE UP…
DEFINITION
• A State Of Altered Reactivity In Which
Thebody Reacts With An Exaggerated Immune
Response To What Is Perceived As A Foreign
Substance.
• Allergy is a synonym for Hypersensitivity
• Anaphylaxis(immediate allergic response
/emergency condition ) is a form of
Hypersensitivity
• A disorder in which the body becomes
hypersensitive to particular antigens, which
provoke characteristic symptoms.
Allergens causing anaphylactic
shock
• Drugs
• Insect venoms
• Foods
• Animal sera
• Treatment measures
• Plant pollens
• Animal hair
drugs
• Penincillin
• Sulfonamides
• Insulins
• Aspirin
• Tetracycline
• Local anesthetics
• Chemotherapeutic agents
• cephalosporins
Insect venoms
• Wasps
• Hornets (Large stinging paper wasp)
• Bumblebeens
• Ants
Foods
• Eggs
• Milk
• Nuts
• Peanuts
• Shell fish
• Chocolate
• Strawberries
Animal sera
• Tetanus antitoxin
• Rabies antitoxin
• Snake venom
• Other antitoxins
Treatment measures
• Blood products
• Iodine contrast
• Allergic extracts
Plant pollens
• Rag weed
• Timothy grass
• Jute fibers
• Tobacco leaves
Animal hair
• Cat hair
• Dog fur
• Camel
• Sheep
• Cow dung
General
• Some perfumes
• Other types of fumes
• Poisoning
Clinical Manifestations
• Neuro : head ache, Dizziness, Paresthesia feeling
• Skin : Pruritus, angioedema, erythema,
urticaria(itchy skin eruption)
• Respiratory system : Coughing, sensation of
narrowed airway, wheezing, stridor, Dyspnoa,
tachypnea, respiratory arrest
• CVS : hypotension, Arrythmias, tachycardia, cardiac
arrest.
• GI: cramping abdominal pain, nausea, vomitting,
diarhoea
General symptoms
• Rashes
• Lacrimation
• Rubbing/excessive blinking
• Nasal polyps
• Husky voice/hoarseness, itchy voice
• Diminished hearing
• Swollen lips, red throat, palpable neck lymph
nodes
Diagnosis
Diagnosis
• History
• Physical Examination : head to toe
• Subjective and objective data
• CBC – WBC differential(Granulocyte, Lymphocyte,
Monocyte) is required – easinophil elevated
• Radio allergen sorbent test : it is an invitro (out side
the body) diagnostic test for IgE antibodies to
specific allergens.
• Skin Test
Management
• Administer Adrenaline(epinephrine) : is a cardiac
stimulant. It has the function of fright or fight and
has a wide spread of effects on circulation, the
muscles and the sugar metabolism.
• Corticosteroids
• Anti pruritic drugs
• Mast cell stabilising drugs
• High flow oxygen
• Keep warm
Adrenaline(epinephrine)
NURSING MANAGEMENT
• Patent Airway
• Remove the particular sting or allergens
• RT
• IV Access
• Psychological support
prevention
• Avoidance of allergens
• Desensitization (a method of reducing the
effects of a known allergen by injecting over a
period)
Thank u for kind listening…..

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Allergy and Anaphylaxis by aseem