In case of severe allergic laryngeal edema, how to treat and care?
At 13:56, a girl in her 20s hurriedly ran into the emergency hall, saying that she was allergic to seafood, and now in addition to hives on her body, she also felt a little tight in her throat, and she was very nervous.
Allergic reactions, there is a possibility of laryngeal edema, treat immediately!
The medical staff on duty immediately transferred the patient to the emergency observation room, inhaled oxygen, established an intravenous infusion channel, intravenously injected dexamethasone sodium phosphate injection 10mg, VC, pantoprazole, methylprednisolone and other drugs, strict monitoring, psychological counseling, health education, etc., nursing measures, at about 17:30, the patient's condition gradually improved and left the hospital.
How to deal with allergic reactions?
If you have an allergic reaction in your life, erythema, itching, urticaria, etc., and you have anti-allergic drugs around you, you can immediately take oral anti-allergic drugs, such as loratadine tablets. If you do not have anti-allergy medications, you can also go to the nearest pharmacy to buy oral medicine or go to a nearby clinic or community health service center.
If the allergic reaction does not relieve, it is getting worse and worse, such as urticaria does not subside, difficulty breathing, throat tightness and other symptoms of respiratory obstruction, call 120 immediately to seek emergency treatment.
If you have a history of allergies, you should carry anti-allergy medications or sprays at home or with you to relieve symptoms of acute allergies.
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What are the clinical manifestations of laryngeal edema?
Acute allergic reactions can be effectively relieved after prompting**.
However, there are also emergencies in which laryngeal edema occurs.
Although acute allergic laryngeal edema is extremely rare, it has a rapid onset, rapid progression, and a high mortality rate, and is a special type of anaphylaxis that can occur alone or in combination with anaphylactic shock.
Clinical manifestations: In addition to general allergic manifestations such as flushing, urticaria, and facial swelling (very few without typical allergic rash), patients can quickly develop symptoms of acute upper airway obstruction caused by laryngeal edema, including laryngeal pain and discomfort, hoarseness, laryngeal sound, inspiratory dyspnea, retraction signs, and profuse sweating, which can lead to hypoxia, cyanosis, asphyxia, coma and cardiac arrest in a short period of time.
How to rescue laryngeal edema?
Acute laryngeal edema is extremely rare, has a rapid onset, rapid progression, and a high mortality rate, and should be suspected immediately
1. According to the treatment of anaphylactic shock, in addition to epinephrine, monitoring and oxygen inhalation, intravenous glucocorticoids can be given at the same time.
2. Immediate follow-up assessment The most critical is the need for immediate and repeated assessment of airway status to determine the next step of treatment.
3. Open airway If the establishment of an artificial airway is considered, emergency cricothyroid membrane puncture or emergency tracheostomy is preferred when conditions permit; If orotracheal intubation is considered, it is expected that difficult airway and difficult catheterization will occur, and a small endotracheal intubation may be an option.
What are the precautions for treating acute laryngeal edema?
The treatment of acute allergic laryngeal edema must be fast!
Quickly follow up with the following four:
1. Give epinephrine.
2. Glucocorticoids can be given at the same time.
3. Assess the airway immediately.
3. When establishing an artificial airway, emergency cricothyroid membrane puncture or tracheotomy is preferred.