Acute anaphylaxis of a 65 year old woman!
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A 65 year old female called her family doctor complaining of pain in her shoulder. Doctor called to house, and administered 40mg diclofenac IM at. 30 minutes post administration, patient felt her throat beginning to swell, developed a rash, and felt dizzy and weak. Patient developed anaphylactic reaction to IM diclofenac administered by family doctor 30 minutes prior. How to treat this condition?
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@micky Chlorphenamine is an antihistamine commonly used in the treatment of anaphylaxis as a secondary therapy to Epinephrine 1:1,000 IM and as a first choice therapy for allergic reactions that are not life threatening, but with symptoms that are causing the patient distress, such as urticaria. The use of an antihistamine is recommended for prehospital use, due to the release of histamine and other vasoactive chemical mediators released during anaphylaxis. The use of antihistamines in a prehospital context can be useful for refractory anaphylaxis, and also as a back-up therapy to the IM administration of Epinephrine 1:1,000. Other antihistamines such as diphenhydramine may also be considered.
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Moved from Immune Disorder by R rean_forum_admin