anaphylaxis
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ANAPHYLAXIS
What is it?
A life-threatening allergic or hypersensitive response to medications and foodstuffs, as well as many other allergy-causing substances. Reactions that occur almost immediately tend to be the most severe.
Causes
Eating or receiving injections of something to which you are sensitive. The allergic response to neutralize or get rid of the material results in a life-threatening overreaction. Substances which cause reactions most often include:
* Medication of all types, especially penicillin. Injections are much riskier than oral or eye-drop medications.
* Stings or bites from insects, such as bees, wasps, hornets, biting ants and some spiders.
* Vaccines
* Pollen
* Injected chemicals used in some types of X-ray studies
* Foods, especially eggs, beans, seafood and fruit
* Exercise induced
Risk Factors
* A previous mild allergic response to things listed above.
* Medical history of eczema, hay fever or asthma.
Prevention
If you have an allergic history:
* Tell the doctor or dentist before accepting any medication. Before you are given a shot, ask what it is.
* Keep an anaphylaxis kit, such as an Ana-Kit or Epi-Pen with you at all times. Be sure your family knows how to use the kit if you have a reaction.
* If allergic to insect stings, wear protective clothing when outside.
* Wear a medical alert type bracelet or pendant warning that you are allergic.
* Always remain in the doctor's office 15 minutes after receiving any injection. Report any symptoms immediately.
* Your doctor may refer you to an allergist.
Diagnosis and Treatment
General Measures
* Without prompt treatment, anaphylaxis can cause shock, cardiac arrest and death.
* If you observe signs of anaphylaxis in someone and he or she stops breathing:
* Call or have someone call for an ambulance or medical help. (If the victim is a child, perform lifesaving measures for 1 minute before calling for emergency help).
* Begin mouth-to-mouth breathing and CPR immediately.
* If there is no heartbeart, give external cardiac massage.
* Don't stop CPR (cardiopulmonary resuscitation) until help arrives
* Be alert to the possibility of a reaction when taking any medicine, and be prepared to respond quickly if symptoms occur. If you have had a previous severe allergic reaction, always carry your anaphylaxis kit.
* Long-term treatment involves desensitization therapy.
Medication
* Epinephrine by injection is the only effective immediate treatment. (Epi-Pen)
* Aminophylline, cortisone drugs or antihistamines, given after the adrenaline, help prevent the return of acute symptoms.
Activity
Resume your normal activities after symptoms improve after an attack. Stay under someone's observation for 24 hours in case symptoms recur.
Diet
Avoid foods to which you are allergic.
Prognosis
Full recovery with prompt treatment.


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