Anaphylatic Reaction: A Serious Allergic Response

Signs and Symptoms:

• Rash/hives

• Wheezing, Short of Breath, Difficulty Speaking

• Sweating

• Flushing of skin

• Increasing anxiety

• Swelling (mouth, tongue, around sting)

• Loss of consciousness

Ask

• • "Do you know what stung you?"

  • "Are you allergic?"

  • "Do you carry Epipen?"

  • "What usually happens when you're stung?"

  • NOTE: N.J. law allows administration of Epipen by the patient only or an EMT under the direction of a physicain.

Causes

• • Bee stings (Wasps, hornets, fire ants

  • Food (nuts, seafood, etc.)

  • Medication (penicillin, codeine, etc.)

Treatment

• Call 911

  • Antihistamine: Benadryl 50mg (if available and individual is able to swallow)

  • Epi-Pen if known to be allergic or if shortness of breath or wheezing (lose of airway)

  • Repeat Epi-Pen if first dose wears off before benadryl wears off

• Position patient sitting and slightly forward. Do not lie patient down if difficulty breathing (unless they go into shock).

      Note: N.J. does not allow administration of Epipen by other then the patient or delegated by a physician.

References:

• 1. Pictures of Anaphylaxis Symptoms   by Colleen M. Story from healthline

  2. Wilderness First Aid, Frank Hubbel, DO, 3rd Ed., 2014, ISBN: 978-0-9826539-7-5

  3. Common Allergy Triggers   from MedicineNet.com

  4. Anaphylaxis: Response to Bee Venom   Britannica.com