StatisticsWe have 222 registered users
The newest registered user is raheelmemon
Our users have posted a total of 1140 messages in 613 subjects
If you are seeing this, you have attempted to link to the UpToDate widget but are experiencing a problem. Please visit UpToDate for more information.
Page 1 of 1 • Share •
Q. A 16 yo M presents to the ER in anaphylaxis. He accidentally ate a candy bar with peanuts, despite a peanut allergy. He states this has happened multiple times before, and he would like to have steroids and diphenhydramine (Benadryl) only. His lips are swollen, and you would normally opt to give an intra-muscular dose of epinephrine for angioedema. While he admits this reaction is worse than normal, he does not want a shot. His aunt states “whatever junior here says.” What is the most appropriate response?
(a) Thoroughly explain to the pt the risks/benefits of epinephrine, and if he still refuses, document the conversation in your chart and allow him to leave against medical advice after giving the steroids/Benadryl.
(b) Contact the pt's PCP, and have him/her try to convince the patient of the necessity for emergent treatment.
(c) Give the intra-muscular dose of epinephrine anyway.
(d) Give steroids/Benadryl and observe the patient. If he decompensates further and becomes unresponsive, then you may give the intra-muscular dose of epinephrine
For Answer Click---> http://www.quantiamd.com/player/yydikpmat?pid=239&u=ypikhbaum
Click here to join QuantiaMD: http://quantiamd.com/home/sig_primarymentalhealth?u=ypikhbaum
Click on to post your comments
Page 1 of 1
Permissions in this forum:You cannot reply to topics in this forum