UDK   616-056.3            

ISSN 2466-2992 (Online) (2016) br.2, p. 8-14

COBISS.SR-ID 36283657                     



ANAPHYLAXIS - A SHORT WAY FROM PROBLEM TO SOLUTION

(CASE REPORT)


Goran Živković, Tatjana Rajković, Biljana Radisavljević, Ivana Ilić

Emergenc y Medicine Service, Niš, Serbia



Summary:


INTRODUCTION: Anaphylaxis is a severe, life-threatening systemic hypersensitivity reaction that occurs abruptly, simultaneously affects a number of organ systems, and can be fatal. The most common causes of anaphylaxis are food, drugs, insect bites and latex. The ABCDE approach should be used for the recognition and urgent treatment of anaphylaxis. Urgent administration of adrenaline is a first-line therapeutic procedure.


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 1-2 hours ago. We gave 0,5mg adrenalin im. IV fluids, corticosteroid and O2 administered. 5-10 minutes later she is feeling well, BP 90/60 mmHg, HR 95/min, SpO2 99%. She was transported in stable condition, accompanied by the


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


Keywords: Acid-base, acidosis, alkalosis  



Korespondencija/Corespondence


Goran ŽIVKOVIĆ, MD

ul.Kestenova 3, Niš

tel. 066336755

mail: goranz75@gmail.com

Issue 2016-2 / article 1

SRP / ENG

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