Goran Živković, Tatjana Rajković, Biljana Radisavljević, Ivana Ilić
Emergenc y Medicine Service, Niš, Serbia
INTRODUCTION: Anaphylaxis is a severe, life-
CASE REPORT: Patient T.M. collapsed on the steps in front of the entrance to the EMS (emergency medical service) ambulance. After the initial orientation examination, she was brought to the ambulance in a horizontal position. A filiform pulse was palpated, frequencies about 72/min, BP 75/50mmHg, SpO2 99%. The skin of the face, and neck and was slightly erythematous. The patient gave the information that she took a tablespoon of ibuprofen syrup 1-
EMS team, to the Emergency center Nis.
DISCUSSION: The patient's anamnestic data on previous analgetic use was a great help in making the diagnosis, considering less pronounced skin changes. Moreover, there are four most important steps in the treatment of anaphylaxis: cessation of contact with the allergen, drug therapy, oxygen and infusion therapy. Adrenaline should be given to adults intramuscularly in a dose of 0.5 mg. In our case, immediately after the diagnosis of anaphylaxis, adrenaline was given, oxygen therapy, infusion therapy with crystalloids and corticosteroid therapy were administered. After the initial care, it is necessary to follow up the patients for at least 6 hours.
CONCLUSION: Early detection of anaphylaxis must be accompanied by adequate therapeutic procedures, where the administration of adrenaline intramuscularly plays a key role.
Key words: anaphylaxis, emergency care, adrenaline
Goran ŽIVKOVIĆ, MD
ul.Kestenova 3, Niš
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