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CCS Case: Anaphylaxis

Case: Anaphylaxis

Clinical Setup

  • Presentation: 24-year-old female 15 minutes after peanut exposure: lip/tongue swelling, stridor, diffuse urticaria, wheezing, BP 84/50, HR 126, SpO2 90%.
  • Location: Emergency Department.

Optimal Order Pathway

  1. Immediate Orders (Minute 0–1):
    • Pulse oximetry, continuous cardiac monitoring, BP q5–15min.
    • 2 large-bore IVs, Normal saline 0.9% IV wide-open bolus.
    • Epinephrine 0.3–0.5 mg IM into mid-outer thigh stat (FIRST and most important — do not delay); high-flow O2.
    • Prepare difficult-airway equipment; call anesthesia early.
  2. Focused Exam (Minute 1–2):
    • Airway exam (angioedema, stridor, voice change), lung exam (wheeze), skin (urticaria/flushing).
  3. Diagnostics (Minute 2–5):
    • Diagnosis is clinical — do not delay treatment for labs.
    • Serum tryptase within 1–3 hours (supports diagnosis retrospectively); CBC, BMP after stabilization.
  4. Therapeutics (Minute 5–15):
    • Repeat epinephrine IM every 5–15 min if no improvement; start epinephrine IV infusion if refractory hypotension.
    • Adjuncts (never substitutes for epi): IV H1 antihistamine (diphenhydramine), H2 blocker (famotidine), IV methylprednisolone, nebulized albuterol for bronchospasm.
    • IV fluids continued; vasopressors (norepinephrine) if shock persists despite epi + fluids.
    • Observe minimum 4–6 hours (longer if severe, on beta-blockers, or biphasic risk); intubate early if progressive airway edema.
  5. Disposition (Minute 15–20):
    • Admit to monitored unit/ICU for observation after stabilization.
    • Allergy consult; identify and document trigger.
  6. Final 2 Minutes:
    • Prescribe epinephrine auto-injector x2 with trainer teaching; action plan and MedicAlert discussion.
    • Counsel on strict allergen avoidance, biphasic reaction warning signs; schedule allergy follow-up for testing.