emergency dept case studies c-med radio reports a 27 yo female with h/o allergy to nuts. after...
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![Page 1: Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted](https://reader036.vdocument.in/reader036/viewer/2022081602/551b52dd550346ae7a8b53a7/html5/thumbnails/1.jpg)
Emergency Dept Case StudiesEmergency Dept Case Studies
C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted + wheezes and hives. How would you prepare for this patient’s arrival?
Prepare for IV placement
Meds: benadryl IV, solumedrol IV, zantac IV, sq epi (0.3cc of 1:1,000)
Inform ED attending of patient’s arrival
?Allergic Reaction
![Page 2: Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted](https://reader036.vdocument.in/reader036/viewer/2022081602/551b52dd550346ae7a8b53a7/html5/thumbnails/2.jpg)
Patient arrives c/o throat tightness, SOB. She is flushed. VS are 120/74.120.28. O2 sat on RA 94%. LS reveal + I/E wheezes. What is your top priority?
Hi-flo O2
Call physician into room
Prepare for nebulizer treatments
Anticipate IV benadryl, IV steroids, IV zantac and possible SQ epi
![Page 3: Emergency Dept Case Studies C-med radio reports a 27 yo female with h/o allergy to nuts. After eating at a Chinese Restaurant she developed SOB. BLS noted](https://reader036.vdocument.in/reader036/viewer/2022081602/551b52dd550346ae7a8b53a7/html5/thumbnails/3.jpg)
You have administered 50mg IV benadryl and 80mg IV solumedrol. Respiratory is finishing patient’s 2nd nebulizer treatment. Patient’s symptoms have improved, RR 18, O2 sat (during neb) 99%. SOB and wheezing resolved. What do you anticipate?
Observe for approximately for usually 3-4 hours.
Patient teaching for epi-pen, po benadryl and possible steroid course.
Patient should receive prescription for epi-pen
Discharge teaching- return for s/s of allergic reaction
Remind to avoid nuts