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Treatments for Allergic reaction
Allergic reaction: Is the Diagnosis Correct?
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Allergic reaction may include:
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Medical news summaries about treatments for Allergic reaction:
The following medical news items are relevant to treatment of Allergic reaction:
- Medication and hypertension
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- Pfizer releases Bextra risks information
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Book Excerpts: Treatment of Allergic reaction
- Treatment - Urticaria
- Treatment - Urticaria
- Emergency interventions - Urticaria [Hives]
- Treatment (Tx) - Anaphylaxis
- Treatment - Urticaria and angioedema
- Emergency Interventions - Urticaria [Hives]
- Treatment and special considerations - anaphylaxis
- Treatment - Urticaria and angioedema
- Nursing considerations - Urticaria
- Emergency Actions - Urticaria
- Nursing considerations - Urticaria [Hives]
Treatments of Allergic reaction: Online Medical Books
16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Allergic reaction.
Urticaria:
Treatment
(In a Page: Signs and Symptoms)
- Identify and avoid physical or drug triggers
- Systemic antihistamines (e.g., hydroxyzine, doxepin, cimetidine) are helpful and may be used alone or in combination with each other or with nonsedating antihistamines (e.g., loratidine, cetirizine, fexofenadine)
- Severe attacks with associated angioedema may require administration of prednisone and epinephrine (consider pen-type epinephrine injector such as Epi-PenR)
- Danazol is used to treat only the rare, hereditary subset of angioedema (without urticaria); it stimulates hepatic production of the dysfunctional or absent C1 esterase inhibitor, thereby normalizing the complement cascade
- Treat yeast, tinea, or bacterial infections of the skin, mucosa, sinuses, or other locations with appropriate antifungal or antibacterial preparations
- Treat thyroid disease if found
Source: In a Page: Signs and Symptoms, 2004
Urticaria:
Treatment
(In A Page: Pediatric Signs and Symptoms)
- Urticaria: Antihistamine; if nonresponsive to antihistamine or chronic uritcaria, then use corticosteroids
- Severe angioedema/anaphylaxis: ABCs of resuscitation
–Epinephrine: 1:1,000, 0.01 mg/kg SC (1:10,000 IV/IO if in shock), every 15 minutes up to three doses, maximum cumulative dose: 0.3 mg (child), 0.5 mg (adult)
–IV fluids if hypotension
–Nebulized Albuterol; antihistamine; corticosteroid (for late phase)
–Observation: Mild, 2–4 hrs; severe, 12–24 hours
–Consult pediatric allergist
–Give patient EpiPen for self-administration
-
Hereditary angioedema
–C1 esterase inhibitor concentrate; adults, danazol - Avoid exposure to causative agents
- Desensitization to insect venoms
- Treat underlying disorders
Source: In A Page: Pediatric Signs and Symptoms, 2007
Urticaria [Hives]:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
In an acute case of urticaria, quickly evaluate respiratory status, and take vital signs. Ensure patent I.V. access if you note any respiratory difficulty or signs of impending anaphylactic shock. Also, as appropriate, give local epinephrine or apply ice to the affected site to decrease absorption through vasoconstriction. Clear and maintain the airway, give oxygen as needed, and institute cardiac monitoring. Have resuscitation equipment at hand, and be prepared to begin cardiopulmonary resuscitation. Intubation or a tracheostomy may be required.
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Anaphylaxis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Epinephrine, establishment of airway, I.V. volume expanders, steroids, diphenhydramine, CPR if cardiac arrest occurs
Source: Professional Guide to Diseases (Eighth Edition), 2005
Urticaria and angioedema:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment aims to prevent or limit contact with triggering factors or, if this is impossible, to desensitize the patient to them and to relieve symptoms. During desensitization, progressively larger doses of specific antigens (determined by skin testing) are injected intradermally. After the triggering stimulus has been removed, urticaria usually subsides in a few days — except for drug reactions, which may persist as long as the drug is in the bloodstream.
Diphenhydramine, hydroxyzine, or another antihistamine can ease itching and swelling in every kind of urticaria. Corticosteroid therapy may be necessary for some patients.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Urticaria [Hives]:
Emergency Interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
In a patient with acute urticaria, quickly evaluate his respiratory status and take his vital signs. Ensure patent I.V. access if you note respiratory difficulty or signs of impending anaphylactic shock. Also, as appropriate, give local epinephrine or apply ice to the affected site to decrease absorption of the irritating agent through vasoconstriction. Clear and maintain the airway, give oxygen as needed, and institute cardiac monitoring. Have resuscitation equipment at hand, and be prepared to begin cardiopulmonary resuscitation. Intubation or a tracheostomy may be required.
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
anaphylaxis:
Treatment and special considerations
(Handbook of Diseases)
Caution: Rapid infusion of aminophylline may cause or aggravate severe hypotension.
CLINICAL TIP: Even after the acute anaphylactic event has been controlled, patients must be counseled about the risks of delayed signs and symptoms. Any recurrence of shortness of breath, chest tightness, sweating, angioedema, or other signs and symptoms must be reported immediately.
Source: Handbook of Diseases, 2003
Urticaria and angioedema:
Treatment
(Handbook of Diseases)
Treatment aims to prevent or limit contact with triggering factors or, if this is impossible, to desensitize the patient to them and relieve symptoms. Once the triggering stimulus has been removed, urticaria usually subsides in a few days. (Drug reactions may persist until the drug is no longer in the bloodstream.)
During desensitization, progressively larger doses of specific antigens (determined by skin testing) are injected intradermally. Antihistamines such as hydroxyzine can ease itching and swelling in every kind of urticaria, although they may induce drowsiness.
Corticosteroid therapy may be necessary for some patients.
Source: Handbook of Diseases, 2003
Urticaria:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
To help relieve the patient’s discomfort, apply a bland skin emollient or one containing menthol and phenol. Expect to give an antihistamine, a systemic corticosteroid or, if stress is a suspected contributing factor, a tranquilizer. Tepid baths and cool compresses may also enhance vasoconstriction and decrease pruritus.
Patient teaching
Teach the patient to avoid the causative stimulus, if appropriate. Emphasize the importance of wearing a medical alert bracelet that identifies his allergies. Explain the risks of delayed symptoms and which signs and symptoms to report. Discuss methods and techniques to prevent anaphylaxis. Instruct the patient on the proper use of an anaphylaxis kit and epinephrine administration.
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Urticaria:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
In an acute case of urticaria, quickly evaluate respiratory status and take vital signs. Ensure patent I.V. access if you note any respiratory difficulty or signs of impending anaphylactic shock. Also, as appropriate, give local epinephrine or apply ice to the affected site to decrease absorption through vasoconstriction. Maintain a patent airway, give oxygen as needed, and institute cardiac monitoring. Have resuscitation equipment at hand, and be prepared to begin cardiopulmonary resuscitation. Intubation or a tracheostomy may be required.
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Urticaria [Hives]:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Apply a bland skin emollient or one containing menthol and phenol to the patient's skin.
▪ Administer an antihistamine, a systemic corticosteroid or, if stress is a suspected contributing factor, a tranquilizer, as ordered.
▪ Provide tepid baths and cool compresses to enhance vasoconstriction and decrease pruritus.
▪ Administer oxygen and monitor respiratory status.
Patient teaching
▪ Explain the underlying disorder and treatment plan.
▪ Teach the patient to avoid the causative stimulus, if identified.
▪ Emphasize the importance of wearing medical identification for allergies.
▪ Explain signs and symptoms that require prompt medical attention.
▪ Stress ways to avoid anaphylaxis.
▪ Teach the patient and his family how to use an anaphylaxis kit.
Source: Nursing: Interpreting Signs and Symptoms, 2007
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