Anaphylactic shock (AS) is one of the most dangerous complications of drug therapy classified as Ig-E mediated Immune response. The average overall prevalence of AS is 80120 cases per million person-years, and the total mortality reaches 1% (the mortality rate of 15.5 per million populations per year). Causes of anaphylactic shock include drugs (contrast, antibiotics (cephalosporin, carbapanems and penicillin), local anesthesia etc.) food, venom from insect bites. (? et al., 2020). Depending with the severity of anaphylactic shock symptoms may range from uticaria,pallor, erythema angioedema nausea, vomiting, and hypotension (60/40 mmHg),tachycardia. bronchospasm. (Santimaleeworagun, Pattharachayakul, & Chusri, 2016). The key difference between anaphylaxis and anaphylactic shock is the presence of severe tissue hypoperfusion in shock state which may progress into a failure of vital organs (Malsy, Leberle, Ehehalt, Sinner, & Hobbhahn, 2015). The aim of management of anaphylaxis is the restoration of oxygenation and perfusion of the brain along with the reversal of pathological changes. Nurses, as a key member of the health team, must be focus on airway, breathing, and circulation, as well as adequacy of mentation. Immediately stop contact with the allergen, place the patient in recumbent position with the lower extremities elevated to maximize perfusion of vital organs, prevent severe hypotension, subsequent inadequate cardiac filling, and pulseless cardiac activity. Insert two large bore IV catheters for rapid administration of fluids and medications. In normotensive adults, isotonic (0.9%) saline should be infused at a rate of 125 mL/hour to maintain venous access, administer oxygen 70-100 percent/ 15 liters per minute flow rate. Initiate continuous electronic monitoring of cardiopulmonary status, plus vital signs including oxygen saturation by pulse oximetry, is required for the duration of the episode. According to physician order, Epinephrine should be injected intramuscularly, If symptoms are severe, an IV epinephrine infusion should be administered. Anaphylactic Shock is reversible, but must be recognized and treated immediately to prevent irreversible organ dysfunction (Nikpeyma, 2018). ?, ?. ?., ?, ?. ?., ?, ?. ?., ?, ?. ?., ?, ?. ?., & ?, ?. ?. (2020b). ????????????? ???????????????? ???. General Reanimatology, 16(3), 7684. https://doi.org/10.15360/18139779202037684 Malsy, M., Leberle, R., Ehehalt, K., Sinner, B., & Hobbhahn, J. Anaphylactic reaction 5 minutes after the start of surgery: a case report. , 8 BMC Research Notes 14 (2015). Nikpeyma, N. (2018). Emergency Nursing Care in Acute Allergy and Anaphylactic Shock. Iranian Journal of Allergy, Asthma & Immunology, 17, 7272. Retrieved from https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=131097786&site=edslive&scope=site Santimaleeworagun, W., Pattharachayakul, S., & Chusri, S. (2016). Anaphylactic shock caused by a selective allergy to ceftriaxone: A case report. Thai Journal of Pharmaceutical Sciences, 40(4), 200202. Retrieved from https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=121172721&site=edslive&scope=site reply2 Anaphylactic shock is a life-threatening reaction to an invading antigen, which results in extreme hypersensitivity response (Randall, 2018). Symptoms of anaphylactic shock can be fatal, which include the following: flushing, nausea, vomiting, fever, rash, hives, angioedema, feelings of impending doom, bronchospasm, back pain, and circulatory collapse (U.S. National Library of Medicine, 2018). The nurse needs to be able to differentiate from regular allergies and anaphylactic shock immediately because anaphylaxis is life-threatening and every second count. The nurse can differentiate anaphylaxis by noticing swelling around the face and mouth area, noticing the wheezing, patient with a decrease in blood pressure, and increased respiratory effort. If the nurse suspects anaphylactic reactions, immediate action must be taken as anaphylaxis is life-threatening. First, the nurse must stop any medication that the patient may be receiving that may be causing the reaction such as blood transfusions or antibiotics and notify the physician immediately. The nurse should also assess the patients vital signs and breath sounds, and prepare for emergency response such as administering oxygen, IV fluids, and resuscitative medications such as epinephrine IM or SQ, albuterol inhalant, corticosteroids, and antihistamines (Randall, 2018). It is also important for the nurse to familiarize themselves with their facility protocols and procedures in place in case of anaphylaxis. Some medications can be administered based on the protocol without the need for a doctors order. The nurse must also educate the patient with known allergies that may lead to anaphylaxis to carry an epi-pen as it may save their life in an emergency. References: Randall, J. (2018). Cellular and Immunological Complexities. In Pathophysiology Clinical Applications for Client Health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for- client-health/v1.1/#/chapter/4 U.S. National Library of Medicine. (2018). Allergic reactions. Retrieved from https://medlineplus.gov/ency/article/000005.htm
Top-Quality Papers with MyAssignmentWriters
Are you stuck with your paper? Is a research paper giving you a hard time crafting research topics? We assist students in achieving the best top-grade academic writing services in compliance with the provided instructions. Have your paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing. All our writers undergo thorough tests to ensure they are qualified writers and deliver the best consistent papers of high quality under tight deadlines.
1000+ Master's, Bachelor's and Ph.d. Experts
We ensure all our writers have the knowledge and experience of crafting the best papers before hiring them. Our writers have acquired Bachelor's or Ph.D. credentials from reputable institutions all over the globe. Our writers can handle papers from any discipline and can handle over 100+ subjects. Including but not limited to a dissertation, term papers, research papers, narrative essays, thesis papers, expository essays, etc. All your orders must pass through a strict protocol of our expert essay writing editors.
Affordable Essay Writing Services
We know that students have very limited budgets. And for that, we always strive to provide only the best, most affordable online college homework help services to our customers. We provide a great deal of student-friendly prices and professionalism with all our essay writing services. We provide great discounts for all our returning customers and new clients. Our paper writing services have a user-friendly interface and professional academic assistance. We are committed to assisting all students in any discipline regardless of their academic level. Place an order with an essay writer today.
Timely delivery of Work
Are you close to missing your paper deadline? Or spent a lot of time conducting extensive research and crafting papers? You are at the right place to get your research paper done in under 3 hours to meet your tight deadline. Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines. You can, therefore, trust that your paper will be done within and before the set deadline.
100% Original Papers
"Hello, can you write my essay with 100% original content?" We are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. Writers who deliver plagiarized papers are suspended to avoid future plagiarized papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading. All papers are delivered with 100% plagiarism content. You can, therefore, rest assured that any signs of plagiarized or unoriginal content will be rejected before it reaches your portal.
24/7/365 Customer Assistance
We are dedicated to ensuring our customers have an excellent experience while using our essay writing services. Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day. Kindly feel free to ask your queries on your order placement, payment methods, and order processing. Our customer support is always available round the clock and ready to listen to your queries. Feel free to contact us via our website or live chat.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
For years now, MyAssignmentWriters.com has stood as a leader in providing its customers with the best online college homework help service in the industry. And all you have to do is provide us with the details of your order. Leave everything else to us. We’ve always got you covered.
Since we launched, Assignmentsabc.com deserved the best online “college homework help status” thanks to our essay ordering, writing, and delivery process. We deliver nothing but excellence in our results. Our essay writing services include impeccable grammar, zero-plagiarism, proper structure, and conformance to guidelines.
Admission and Business Papers
Our top-quality online college homework help services guarantee that you will be accepted into your desired university. You just need to fill out your admission and business papers, and our team of online homework help workers will handle the rest. We will help you achieve and secure the best positions in your admissions forms.
Editing and Proofreading
At MyAssignmentWriters.com, we have a skilled writing and editing team that’s dedicated to creating, editing, and restructuring for all types of papers. Our online college homework help editing and proofreading team will check, paraphrase, and correct any grammar mistakes on your paper before submitting the final document to you.
At MyAssignmentWriters.com, we pride ourselves in having writers in almost all fields, even the most technical ones. You never have to worry about your paper being too technical for our certified online college homework help writers to handle. MyAssignmentWriter's team of writers can handle even the most complex writers. We will match your paper to the most competent writer that we believe will handle your paper the best way possible.