eval(thisq + " = '" + thisr + "'"); Continue BLS ventilations, cardiac monitor, IV of NS KVO, 50% dextrose IV, reassess, B. Intubate, cardiac monitor, IV of NS KVO, 50% dextrose IV, reassess, C. Continue BLS ventilations, glucagon 0.5mg IM, reassess, D. Intubate, initiate transport, cardiac monitor and IV access while en route to trauma center, Continue BLS ventilations, cardiac monitor, IV of NS KVO, 50% dextrose IV, reassess. The onset of action of epinephrine is usually three to five minutes, and intramuscular administration into the anterolateral thigh is the preferred route. Which of these are not likely to cause anaphylaxis: If you had a mild allergic reaction to an allergen in the past, then you are not at risk for a life-threatening reaction in the future. Absorb dietary lipids. After being exposed to a substance such as bee sting venom, the person's immune system becomes sensitized to it. document.getElementById("quiz_score").innerHTML = (score + " out of " + arra.length); American College of Allergy, Asthma and Immunology. Clinicians can obtain serum tryptase levels, reflecting mast cell degranulation, when the clinical diagnosis of anaphylaxis is not clear. Drag each label into the appropriate position to identify whether it is a characteristic of antibody-mediated immunity or cell-mediated immunity. Which statement regarding the infectiveness and pathogenicity of HIV is FALSE? The incidence of anaphylaxis in the United States is 2.1 per 1,000 person-years. An immunotoxin is an antigen combined with a toxic agent. A person experiencing anaphylaxis may have trouble breathing and go into shock. *Encourage the person to use his or her quick-relief medication, and call 9-1-1 or the designated emergency number if the person's condition does not improve within 5 to 15 minutes of taking the medication. She has a prescribed albuterol inhaler and an epinephrine auto-injector. If you are at risk for anaphylaxis, the best way to manage your condition is: Enfermedades de Inmunodeficiencia Primaria, AAAAI Diversity Equity and Inclusion Statement, Swollen throat or swollen areas of the body. Immunity resulting from a direct attack on a foreign substance by specialized cells in the immune system is: Your patient is a 46-year-old male who is unconscious on his front lawn after being stung by a bee. Which medication is best for improving hypotension secondary to anaphylactic shock? In some cases, there's no obvious trigger. Match the following statements with the appropriate tissue sample. An arm that drifts downward when both arms are lifted. The more you know about the condition, the more empowered you can feel. function outputQuizScore() { https://www.uptodate.com/contents/search. See answers A 22-year-old male, unconscious after a motor vehicle collision, is being cared by a BLS crew. Symptoms of anaphylaxis include diffuse erythema, pruritus, urticaria, bronchospasm, and angioedema. concerning? Hypersensitivity is due to A) The presence of an antigen. It can occur within seconds or minutes of exposure to something you're allergic to, such as peanuts or bee stings. Trouble with speech or language. Mayo Clinic does not endorse companies or products. One out of 20 of all anaphylaxis cases requires hospitalization; in the United States, hospitalizations for anaphylaxis have steadily increased over the past 10 years. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Type IV hypersensitivity: This is also known as delayed-type hypersensitivity, and it is mediated by T cells. Symptoms may include difficulty breathing, swelling of the face, lips, or tongue, hives or rash, nausea or vomiting, dizziness or fainting, and chest pain or tightness. 'Cases of a severe allergic reaction (anaphylaxis) have also been recorded, but for the Astra-Zeneca vaccine, cases are very rare, perhaps because of precautions being taken for those with known . The symptoms include: feeling lightheaded or faint breathing difficulties - such as fast, shallow breathing wheezing a fast heartbeat clammy skin Have the person sit down and take deep breaths. The most common anaphylaxis triggers in children are food allergies, such as to peanuts and tree nuts, fish, shellfish, wheat, soy, sesame and milk. Best hypoallergenic dry food: Royal Canin Veterinary Diet Adult Ultamino Dry Dog Food. You respond to a patient with shortness of breath after he took a dose of an antibiotic. You are called to assist a 25-year-old female patient who is in profound respiratory distress. Campbell RL, et al. Which of the following properties distinguishes adaptive immunity from innate immunity? .question { Make an appointment to see your provider if you or your child has had a severe allergy attack or signs and symptoms of anaphylaxis in the past. The patient states she was working in her garden when she accidentally stirred up a hornets' nest and was . Copyright 2023 American Academy of Family Physicians. Once you've had an anaphylactic reaction, be sure to tell your allergist. You are called to the home of a 28-year-old male who is complaining of hoarseness, a scratchy sensation in the back of hid throat, and palpitations. Signs and symptoms include: Seek emergency medical help if you, your child or someone else you're with has a severe allergic reaction. Anaphylaxis B) Antibodies. Answer: D The chemical mediators of anaphylaxis are A) Found in basophils and mast cells. font-size: 1.125em; Anaphylaxis is the result of the immune system, the body's natural defence system, overreacting to a trigger. Sometimes symptoms go away, and then return a few hours later, so if you have taken epinephrine and are feeling better, go to the hospital anyway to make certain your reaction is under control. Term. Correctly label the lymphatic tissue of the large intestine. Which of the following statements about antihistamine use in anaphylaxis treatment is TRUE? Which of the following signs is most? A person is having signs and symptoms of a heart attack. B. D) An altered immune response. Symptoms typically include generalized hives, itchiness, flushing, or swelling of the afflicted tissues, wheezing, and very low blood pressure. O e. Do not rely on antihistamines as first-line treatment in severe allergic reactions. Which of the following are used to determine relatedness between a donor and a recipient for transplants?Term, Graft-versus-host disease will most likely be a complication of a(n), A positive tuberculin skin test is an example of, A healthy immune system destroys cancer cells with, The symptoms of an immune complex reaction are due to Term, Rheumatoid arthritis is due to deposition of Term. Correctly label the following anatomical features of fluid exchange between lymphatic and circulatory systems. Aspirin and ibuprofen are antipyretics because they A. reduce swelling B. lower fever C. relieve pain D. eliminate sensation Answers C. relieve pain and it also lowers fever but C is correct Correctly label the following anatomical features of an HIV structure. .questiongroup { The patient states that her is allergic to eggs and accidentally are pancakes make with eggs this morning. Term. Epinephrine, dyphenhydramine, dexamethasone. She is complaining of dizziness after eating a casserole that she later discovered contained peanuts. Decreased insulin levels result in decreased ADH secretion, B. Glucose in the urine raises osmotic pressure inside the kidney tubule, drawing water into the tubule from the surrounding tissues, C. Glucose in the urine lowers osmotic pressure inside the kidney tubule, preventing water reabsorption, D. Elevated blood glucose levels result in increased ADH secretion, Glucose in the urine raises osmotic pressure inside the kidney tubule, drawing water into the tubule from the surrounding tissues. Following exposure to an allergen in which IgE antibodies are released, mast cells degranulate, releasing: Histamine Immerse the person up the neck in ice water. An example plan is available at https://www.healthychildren.org/SiteCollectionDocuments/AAP_Allergy_and_Anaphylaxis_Emergency_Plan.pdf. https://www.uptodate.com/contents/search. When caring for a person who is having a seizure, you should: Remove nearby objects that might cause injury, The AED pads should normally be placed on, The upper left and lower right sides of the chest. The tetanus immune globulin provides passive immunity, while the tetanus vaccination provides active immunity. E) The proteins of the complement system. False. *Add additional dressings and continue to apply direct pressure until the bleeding stops, and then bandage the wound. He informs you that he is visiting from El Salvador and has never received a tetanus vaccination. Correctly label the following aspects of red bone marrow. If the AED pads risk touching each other such as with a small child or an infant you should: Place on pad in the middle of the chest and the other on the back. a) Determine (Cv)liqand(Cv)yuq\left(C_{v}\right)_{\text {liq }} \text { and }\left(C_{v}\right)_{\text {yuq }}(Cv)liqand(Cv)yuq. First with an injection of epinephrine, followed by a trip to a hospital emergency room. The blocking IgG antibodies "outnumber" the IgE antibodies and bind to wasp venom before the IgE antibodies can bind. They occur during an allergic reaction. E) Allergies. Your patient is experiencing profuse hives, itching, dyspnea, coughing, tachycardia, and dizziness after eating seafood 5 minutes ago. (Ka25 ^ { \circ } \mathrm { C } . )HCN=6.21010.) Which of the following statements about corticosteroid use in anaphylaxis treatment is TRUE? Upon identifying an antigen in the bloodstream, B cells launch a chemical attack by producing antigens specific to the antibody. d. Ipratropium is most frequently administered with a beta-agonist to provide bronchodilation and drying of bronchial secretions. Correctly label the following lymphatics of the neck. Which of the following mediators are involved in anaphylactic reactions? C. The sides of the polygon are tangents of the circle. Your health care provider can determine if you have a latex allergy or if you're at risk of developing a latex allergy. While rare, there is a chance of experiencing a serious reaction after exercising. An arm that drifts downward when both arms are lifted in front of the body. Assuming Rh compatibility is present, which of the following individuals would be able to receive donor blood from any of the four blood types (A, B, AB, and O)? Anaphylaxis is the term for reactions caused when certain antigens combine with IgE antibodies All of the following are considered examples of type I hypersensitivity EXCEPT Transplant rejections All of the following lead to drug induced thrombocytopenic purpura. Injected antigens combine with IgE antibodies on the surface of certain cells, causing them to release histamines and other inflammatory mediators. a. Your patient is a 31-year-old female complaining of dizziness breathing after being stung by a bee. A norepinephrine infusion encourages a net movement of plasma from the intravascular space to the vascular space, raising blood pressure. You should: Cool the burn with large amounts of cool or potable water for at least 10 min. You are called to the home of a 28-year-old male who is complaining of hoarseness, a scratchy sensation in the back of his throat, and palpitations. EMT? HR= 128, BP= 100/70, RR= 20, SaO2= 99%. Individualize observation for a biphasic reaction; strongly consider observation for a minimum of four hours following an episode of anaphylaxis and six to 12 hours for patients who have risk factors for severe anaphylaxis, a previous biphasic reaction, a previous protracted anaphylactic event, unknown inciting trigger, severe initial presentation, or who required more than one dose of epinephrine treatment. Of the following treatments, which is most appropriate? padding: 2px 4px; Viruses may change the structure of self-antigens and cause the immune system to perceive them as foreign. All Rights Reserved. What is the overall purpose/goal of this process? Answer :- option 3 is correct in case of auto immune DISEASE and this is because the HLA -DRS THE SPECIFIC HUMAN LEUKOCYTE ANTIGEN THAT at the cells is responsible for the cause of auto immune disease known as rheumatoid arthritis disease in the the View the full answer Transcribed image text: This content does not have an English version. var arra = new Array('c', 'f', 't', 'b', 'f', 't', 'b', 'f', 't', 'e'); The vertices of the polygon are on the circumference of the circle. Label the photomicrograph based on the hints provided. The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Army, Department of the Navy, Department of the Air Force, Uniformed Services University of the Health Sciences, Department of Defense, or the U.S. government. Trouble with speech or language. Anaphylaxis: Emergency treatment. Which of the following statements about vasopressors use in anaphylaxis treatment is TRUE? Also: If you have food allergies, carefully read the labels of all the foods you buy and eat. In rare cases, anaphylaxis may be delayed for hours. The person is responsive and is able to safely swallow. (a) Use node-voltage analysis to find the output vOv_{O}vO in terms of the input vSv_{S}vS. 4 widespread dilation of the blood vessels causes blood to pool in the vascular beds. Anaphylaxis is distinguished from a mild or moderate allergic reaction by the sudden involvement of two or more organ systems manifesting with a variety of symptoms such as difficulty breathing, swelling of the tongue, swelling or tightness in the throat, wheezing, sudden persistent cough, abdominal pain, vomiting, and hypotension13 (Table 314). Otolaryngology Clinics of North America. Which of the following statements about anaphylaxis is true? When using direct pressure to control non-life-threatening bleeding from an open wound, you should: Put the person in the recovery position. True 15 Starch and dietary fiber are classified as: a complex carbohydrates. The search included meta-analyses, systematic reviews, practice guidelines, clinical trials, and original studies. What should you do? The secondary response uses memory cells, which immediately release antibodies specific to the antigen. Help the person rest in a comfortable position and loosen any tight clothing. Most anaphylactic reactions occur outside the hospital setting. A person is having an asthma attack. Based on these findings, what should be your greatest concern? Therefore, it is essential to establish two large-bore intravenous access sites and administer fluids when signs or symptoms of shock occur (Figure 18,10,11,13,21,26,3336 ). A d. D. Dopamine IV infusion and albuterol via nebulizer. If you have a reaction after eating a particular food, see your doctor to determine whether you have a food intolerance or a food allergy. They may have trouble breathing and go into shock. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Which of the following is true concerning systemic anaphylaxis? For the circuit of the given figure Hemolytic disease of the newborn is an example. include protected health information. Then, click and drag each into the appropriate category based on the form of immunity to which it applies. When would it be appropriate to use a tourniquet? What should you do? A) Peanut allergy is an example of immediate hypersensitivity B) Atopy is a risk factor in peanut allergy C) Anaphylaxis can occur on first exposure D) IgG is believed to be centrally involved in anaphylaxis to peanut antigens E) Self -administered adrenaline can be lifesaving The medical history includes anaphylaxis following exposure to amoxicillin. The onset of action of epinephrine is usually three to five minutes, and intramuscular administration into the anterolateral thigh is the preferred route.8,10,25,26,33,34 Epinephrine auto-injectors can be used in health care settings and are advantageous because they are quicker to administer and decrease dosing errors.26 At recommended doses, the most common adverse effects of epinephrine include agitation, anxiety, tremulousness, headache, dizziness, pallor, and palpitations. Your patient is a 60-year-old male who is conscious and alert, sitting on a toilet. In what circumstance would it be appropriate to use a tourniquet? Which of the following statements about defibrillation is true? A person is having signs and symptoms of a heart attack. Which sign associated with an allergic reaction should concern a caregiver the most? Diphenhydramine is administered in anaphylaxis because it: Which of the following statements about the use of vasopressors in the treatment of anaphylaxis is TRUE? } All patients at risk of anaphylaxis should be provided with an action plan instructing them on how to manage an episode of anaphylaxis, including the proper administration of epinephrine.8,11,25,47 Parents of at-risk children, especially children with a documented food allergy who attend school, preschool, or childcare, should share the action plan with the staff caring for their children.47 The action plan should include documentation of confirmed allergens, signs and symptoms of anaphylaxis, an emphasis on epinephrine as the first-line treatment, the first aid response, identification of the child including a photo, and parent or guardian contact information. if (eval("q" + (i + 1) + " == '" + arra[i] + "'") == true) { padding: 8px 10px; B) Immunity. This second reaction is called biphasic anaphylaxis. Manufacturing processes can change, so it's important to periodically recheck the labels of foods you commonly eat. EMS has been called. it occurs when an individual is exposed to an allergen for the first time. The body begins producing lactic acid when sepsis develops. 2017; doi:10.1016/j.otc.2017.08.013. Which of the following statements about anaphylaxis is true? All of the following medications should be used in the initial treatment of hypotension is patients with anaphylactic shock EXCEPT: Approximately _____ deaths are attributed annually to anaphylaxis in the United States. Of the following, which is the most appropriate continued treatment of this patient? Upon assessment, you find no signs or symptoms of anaphylaxis. } Which of the following statements about anaphylaxis is true? Which of the following best describes the rationale for this treatment? You may have developed an allergy to the antibiotic you are taking." https://www.healthychildren.org/SiteCollectionDocuments/AAP_Allergy_and_Anaphylaxis_Emergency_Plan.pdf, Consistent cohort studies showing decreased mortality and hospitalization from early epinephrine administration, Expert opinion and consensus guideline in the absence of clinical trials. a reaction that occurs in a sensitized individual resulting in tissue damage rather than immunity, Treatment with certain drugs to reduce transplant rejection can cause. Anaphylaxis: Confirming the diagnosis and determining the cause(s). Although they improve cutaneous erythema and decrease pruritus, they have not been shown to reverse upper airway obstruction or improve hypotension.42 The onset of action for corticosteroids is approximately six hours; therefore, they have little to no effect on initial signs and symptoms of anaphylaxis. Symptoms of delayed cell-mediated reactions are due to. Anaphylaxis is a severe and potentially life-threatening reaction to a trigger such as an allergy. Match each lymphatic cell with its function. Intubate, administration of dopamine IV infusion, rapid transport For each situation, indicate whether inflammatory response would increase or decrease. Ipratropium is given to relieve the long-t term inflammatory effects of asthma. The incidence of anaphylaxis in the United States between 2004 and 2016 was 2.1 per 1,000 person-years, with one-fourth of anaphylactic reactions affecting children younger than 17 years.1 Most anaphylactic reactions occur outside the hospital setting (Table 1),2,3 and most individuals go to the hospital or emergency department for treatment.2,4 In the United States, the incidence of anaphylaxis peaks in children two to 12 years of age and in adults between 50 and 69 years of age.1 One out of 20 of all anaphylaxis cases may require hospitalization1,2; in the United States, hospitalizations for anaphylaxis have steadily increased over the past 10 years.5 The annual number of confirmed anaphylaxis-related deaths in the United States ranges from 186 to 225.5 The average fatality rate is 0.3% for most hospitalizations or emergency department presentations for anaphylaxis.5 Risk factors for severe or fatal anaphylaxis include coexisting asthma, mast cell disorders, age older than 50 years, underlying cardiovascular disease, peanut and tree nut allergy, and drug-induced reactions.610. Thisis often something you're allergic to, but not always. He describes a 4-hour history of severe diarrhea and vomiting. Which of the following could be signs or symptoms of stroke? Fortunately, there are steps you can take to ease your mind and manage the risk of anaphylaxis. Autoinjectable epinephrine (adrenaline) should be given early to help stop or slow down the reaction from getting worse. A woman burned her hand in the lunchroom. True. Read each description regarding cellular and humoral immunity. Thigh. If anaphylaxis isn't treated right away, it can be fatal. This is good when a foreign substance is harmful, such as certain bacteria or viruses. Which medication is best for improving hypotension secondary to anaphylactic shock? Which of the following statements about antihistamine use in anaphylaxis treatment is TRUE? * Accessed Nov. 20, 2016. Consider two indistinguishable, noninteracting spin- 1/21 / 21/2 fermions in a one-dimensional infinite square well potential of length LLL. Which of the following best describes a hypersensitivity reaction? Sometimes, however, anaphylaxis can occur a half-hour or longer after exposure. *All of these* Only after epinephrine administration should adjunct medications be considered; these include histamine H1 and H2 antagonists, corticosteroids, beta2 agonists, and glucagon. Corticosteroids can reduce the inflammation associated with anaphylaxis. ( K _ { \mathrm { a } }25C. Which medication would be the best choice for reducing the bronchospasm and laryngeal edema associated with anaphylaxis? American Academy of Allergy, Asthma, and Immunology, Respiratory distress with wheezing or stridor. A person is having an asthma attack. Symptoms of anaphylaxis Anaphylaxis usually develops suddenly and gets worse very quickly. Some symptoms may include a change in voice and abdominal cramps, bloating, and uterine cramps. Other warning signs of a serious reaction include: The most dangerous symptoms are low blood pressure, breathing difficulty and loss of consciousness, all of which can be fatal. Eating certain foods before exercise or exercising when the weather is hot, cold or humid also have been linked to anaphylaxis in some people. All Rights Reserved. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Indicate whether the given direction of lymph flow is correct or incorrect. Have them use their quick relief medication, call 911 or the designated EMS if it gets worse. You might also expect to see all of the following signs EXCEPT: Which of the following statements about corticosteroid use in anaphylaxis treatment is TRUE: A. Corticosteroids stabilize mast cell and basophil membranes preventing degranulation and histamine release, B. Corticosteroids can reduce the inflammation associated with anaphylaxis, C. Corticosteroids can help reverse bronchospasm associated with anaphylaxis, D. Administration of high-dose corticosteroids results in peripheral vasoconstriction, Corticosteroids can help reverse bronchospasm associated with anaphylaxis. Patient management should include all of the following EXCEPT: D. supplemental oxygen via nonrebreather mask. A person experiencing anaphylaxis may have trouble breathing and go into shock. D. Remember to refill your prescription if your epinephrine has expired. True. Fortunately, there are steps you can take to ease your mind and manage the risk of anaphylaxis. True. B. Antihistamine block H1 and H2 receptors and prevent further release of histamine from B and T cells. In immune complex reaction shown in the figure, what is the end result of the reaction? b) What is the ground-state wave function? complexes of IgM and IgG and also complement in joints. If it isn't treated properly, anaphylaxis can be fatal. If you are a Mayo Clinic patient, this could You believe that a person has a head, neck, or spinal injury. Which of the following statements about concussion is true? Correctly label the following anatomical features of the lymph node. Work with your allergist / immunologist to identify allergens that trigger symptoms so that you can avoid these allergens. Campbell RL, et al. Anaphylaxis is the term for reactions caused when certain antigens combine with, During asymptomatic phase I of HIV disease, HIV infection is diagnosed by, Chemotherapy to inhibit the progression of HIV infection utilizes all of the following mechanisms EXCEPT, HIV spikes attach to CD4+ receptors found on. HR=112 and regular, BP=132/90, RR=12 and regular, blood glucose=42 mg/dL. Drag each cell into the appropriate position to identify whether it is associated with antibody-mediated immunity, cell-mediated immunity, or both. https://www.aaaai.org/Conditions-Treatments/allergies/anaphylaxis Accessed June 27, 2021. You might also expect to see all of the following additional signs EXCEPT: Your patient is a 36-year-old female, conscious and alert, sitting at her desk and complaining of a rash and itchiness after taking a sulfa antibiotic. e) What is the degeneracy of the first excited state? While having previous mild reactions to an allergen is a strong predictor regarding the intensity of future reactions, a mild reaction does not guarantee that your next reaction won't be more serious. Anaphylaxis symptoms usually occur within minutes of exposure to an allergen. Which of the following may result from systemic anaphylaxis? People with a severe allergy or a history of anaphylaxis should carry epinephrine with them at all times. You note that she is extremely anxious, and your physical examination reveals a rapidly developing urticarial to her shoulders, neck, and face. *All of these. function recordQuizResponse(thisq, thisr) { Also searched were the Cochrane database, ECRI Guidelines Trust, Essential Evidence Plus, and the U.S. Preventive Services Task Force. For instance, a serious reaction could involve developing a rash and vomiting or diarrhea after being exposed to an allergen. Which of the following describes a cytotoxic autoimmune reaction? * Which of the following is a characteristic of rheumatoid arthritis? HR = 112 and regular, BP= 122/82, RR= 12 and regular, SaO2 =98%. Acute onset of an illness (i.e., minutes to several hours) with involvement of the skin, mucosal tissue, or both (e.g., generalized hives; pruritus or flushing; swollen lips, tongue, or uvula; and at least one of the following: Respiratory compromise (e.g., dyspnea, wheezing, bronchospasm, stridor, reduced peak expiratory flow, hypoxemia), Reduced blood pressure or associated symptoms of end-organ dysfunction (e.g., hypotonia [collapse], syncope, incontinence). Her skin is warm and dry, and her lung sounds are clear and equal bilaterally. The most appropriate treatment for this patient would include: IV of NS KVO anaphylaxis Your patient has eaten a casserole that may have contained seafood. Which of the following treatment regimens for anaphylaxis lists the medications in the correct order of administration following oxygen? As you obtain the history, you learn that she started taking Keflex, an antibiotic, two days ago to prevent infection in a laceration to her hand. Although not common, some people develop anaphylaxis from aerobic exercise, such as jogging, or even less intense physical activity, such as walking. Anaphylaxis is a severe, whole-body allergic reaction to a chemical that has become an allergen. Shaker MC, et al. Foods that cause the majority of life-threatening reactions are peanuts, tree nuts (such as walnut, cashew, Brazil nut), shellfish, fish, milk and eggs. Data Sources: A PubMed search was completed using the key terms anaphylaxis, epinephrine, antihistamine, corticosteroids, glucagon, management, epidemiology, diagnosis, biphasic, and fatal. You should: Cool the burn with fresh water, cover the burn loosely with sterile dressing, and move her away from the source of the burn. What should you do first? When using direct pressure to control non-life-threatening bleeding from wounds, you should: Add dressing & pressure until bleeding stops, then bandage. Label the structures of the pharynx based on the hints provided. Intro to atmosphere review thru heat xfer, bone, muscle and joint injuries & sudden medi, nutrition final - Troy University (Johnson). Anaphylaxis can occur from eating common foods such as milk, eggs or shellfish. Call 911 or the designated emergency number. HR = 122, BP = 124/76, RR = 15 and regular, SaO2 = 97%. } Which type of hypersensitivity is allergic contact dermatitis? Then, click and drag each to the appropriate category to identify whether it pertains to local anaphylaxis or anaphylactic shock. You note that she is extremely anxious, and your physical examination reveals a rapidly developing urticaria to her shoulders, neck, and face.
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which of the following statements about anaphylaxis is true?