Anaphylaxis Nursing Interventions

Guidelines:

• Recognition
• Anes stat/code
• Epi
• Steroids
• Consider intubation
  • Sedation
  • ENT
  • Trach
• Discuss dispo

Considerations:

• Pediatric dosage sheet
• O2 source
  • backup
  • BVM
• Maneuver equipment out of the way
  • back table
  • Carm

Nurse’s Role:

• Identify
• Alarm
• Assist
• Anticipate needs
• training

Pitfalls:

• Cocky anesthesia
• Wrong sized tube
• Unstocked cart
• Allergies not communicated

Examples:

• On induction, patient becomes difficult mask when pre-oxygenating. Desat, redness/blanching/hives. (epi, steroids, assist anesthesia, anticipate difficult intubation vs trach)

Linchpins (Key Points):

• Similar response as elsewhere, but all options expected to be available