Anaphylactic Shock

- Is a shock due to severe allergic reaction (e.g. wrong injection of an ampoule for a hypersensitive patient)

Diagnosis:

Immediate wrong injection →

- Sudden fall of blood pressure

- Tachycardia

- Cutaneous manifestations (itching,  urticaria ............. )

Treatment:

1- Stop harmful injection

2- Immediate:
R/ Adrenaline ampoule intravenous or subcutaneous
R/ Solu cortef ampoule intravenous

- Dose of adrenaline:

 Adult → 1 ml of adrenaline is diluted in 9 ml saline and give by direct intravenous injection slowly (ml by ml till resolution of blood pressure &        (tachycardia ↓

Pediatric  → (0.01 mg / kg) = (0.1 ml adrenaline is diluted in 9 ml saline and give 0.1 ml for each kg by direct intravenous injection slowly)

- Dose of solu cortef (hydrocortisone)
Adult  → whole ampoule
Pediatric  → 0.1 ml / kg  

3- Ringer lactate or normal saline 0.9% to restore blood volume and pressure.

4- Oxygen therapy.

5- Mechanical ventilation may be required.