Signs and symptoms of anaphylaxis and management in the dental office

November 14, 2011 | By | Reply More

Signs and symptoms of anaphylaxis and management in the dental office :

Signs and symptoms of anaphylaxis : Anaphylaxis is characterized by-

  • bronchospasm,
  • hypotension or shock, and
  • urticaria or angioedema.
  • It is a medical emergency in which death may result from respiratory obstruction, circulatory failure, or both.

management in the dental office :

  • With the first indication of anaphylaxis, 0.2—0.5 cc of 1/1000 aqueous epinephrine should be injected subcutaneously orintramuscularly, and emergency services should be contacted.
  • The injection of epinephrine may be repeated every 20—30 minutes, if necessary, for as many as 3 doses. Oxygen at a rate of 4 L!min must be delivered with a face mask.
  • The patient must be continuously monitored, and an intravenous line containing either Ringer’s lactate or normal saline should be infused at 100 cc/hour.
  • If the patient becomes hypotensive, the intravenous infusion should be increased.
  • If airway obstruction occurs from edema of the larynx or hypopharynx, a cricothyrotomy must be done.
  • If the airway obstruction is due to bronchospasm, an albuterol or terbutaline nebulizer should be administered or intravenous aminophylline, 6 mg/kg, infused over 20—30 minutes.

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Category: Dental, Oral Anatomy

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