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Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events...

Identify the multisystem physiologic progression that occurs in anaphylactic shock. Think about how these multisystem events can occur in a very short period of time.

Consider when you should refer patients to emergency care versus treating as an outpatient.

Select two patient factors different from the one you selected in this week’s first Discussion: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the process of anaphylactic shock.

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Anaphylactic shock is an allergic reaction that attacks the multi-system in a very short period of time. During the allergic reaction, the body system sensitized to foreign substances and produces serious effects. The most common sign and symptoms are low blood pressure, hives, pruritis, swelling of lips and tongue, flushing, abdominal cramping, respiratory distress, etc. Usually, It can be treated with epinephrine and antihistamines. But if the patient shows the signs of a weak pulse, shortness of breath, loss of consciousness, then the patient should immediately be transferred to the emergency department.

A 40-year-old male Latino brought to an emergency department with a complaint of weakness, confusion, and shortness of breath. He was stung by an insect in his left arm. He spends most of his time in the garden. The immediate neighbor brought him to the hospital. At emergency, he shows the vitals of T 37.6, HR 130, R 36, BP 90/60mmHg. He was in early anaphylactic shock due to the poison of insect bite and treated with epinephrine.

A 24-year-old Mexican Lady admitted to the emergency department with allergic reactions after eating seafood for the first time and usually took a packed meal every time. She complains of suffocation, hives, wheezing. Her oxygen saturation is 80% and respiratory rate 40b/min. She is in respiratory distress state and requires immediate medical attention. She develops hypersensitivity to the food allergens and shows the above symptoms. The symptoms should be resolved with proper medication and patient education should be initiated.

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