Emergency care and styling with anaphylactic shock

The first step in anaphylactic shock is to inject 0.5 ml of 0.1% solution of adrenaline. The administration is performed intravenously or subcutaneously. If there is an urgent need, the procedure is repeated after a few minutes. It is important that the total amount of the drug administered does not exceed 2 ml. It is necessary to monitor the frequency of cardiac contractions, arterial pressure. Do not overdose with adrenaline. This can aggravate the situation at times.

After the introduction of adrenaline, resort to the help of glucocorticoids. Usually in their role is prednisolone. It is necessary to enter 150 mg of this medication. If the patient's condition is very severe, the dosage can be increased. Use is allowed 20 mg of Dexamethasone, 500 mg of Methylprednisolone. In order to start the action of these drugs begins only a few hours after admission.

With anaphylactic shock, antihistamines are actively used. It is possible to administer 1-2 ml of Diphenhydramine, Tavegil. Their main function is not to reduce pressure. You can not allow this, because an allergic reaction is possible. Gluconate Calcium and Chloride can negatively affect the general condition.

The patient can be injected with a solution of Euphyllin, in the amount of 10-20 ml. This will help significantly ease breathing, as well as reduce pulmonary edema. The drug should be administered immediately. If necessary, artificial respiration is given.

The administration of blockers of antihistamines is recommended. They can significantly reduce symptoms and prevent possible re-development of shock. Presumably, Hydrocortisone is administered, in the amount of 200 mg. If it is a child, then 100 mg is enough. If other drugs are introduced, the possibility of their interaction should be taken into account. For Methylprednisolone it is 50-120 mg, for babies - 1 mg per kilogram of weight. Dexamethasone 8-32 mg, Betamethon 20-125 μg / kg. The preparation is selected depending on the course of the process. Pulse therapy is advisable.

[1], [2], [3]

Stacking with anaphylactic shock

For possible problems, a special installation should always be present. This is a suitcase, in which are all the necessary drugs.

This is usually an adrenaline hydrochloride. It is desirable that it was 0.1%, 10 ampoules. It is necessary to put in the anxious case Atropine sulfate 0.1%, 10 ampoules. Glucose 40% in the amount of 10 ampoules. This includes Digoxin 0.025%, 10 ampoules. Diphenhydramine 1% - 10 ampoules.

It is necessary to have 10% calcium chloride in the amount of 10 ampoules. Cordiamin - 10 ampoules. Lasix, Mesaton - 10 ampoules. Here, too, is sodium chloride 0.9% 10 and 400 ml. The first type of medication should be in ampoules, in a total of 10 pieces. The second type is a vial or 2 bottles.

You also need Polyglukin vial - 400 ml, Prednisolone - 10 ampoules, Tavegil - 5 ampoules. Do not do without Eufillina 2.4% - 10 ampoules. There must necessarily be a system for intravenous drip infusions, in the amount of 2 pieces. Syringes for 5-20 cubes. Sterile wipes, rubber tourniquet, gloves and a bubble with cold are auxiliary components.

Orders for the formation of first-aid kits

Starting from 2014, it was decided to improve the first aid kits for emergency help. Thus, the following components should be present in the emergency case:

• Adrenalin. It is used for local chipping, as well as for intramuscular injection. The agent allows to provide an instant vasoconstrictive effect.
• Glucocorticoids. The most common of these is Prednisolone. It helps to cope with swelling, to remove allergies. In addition, the agent has an immunosuppressive effect.

The first aid kit should include antihistamines in its composition. They should be in the form of a solution, since they are administered intravenously. This is Tavegil, Suprastin. They allow you to achieve maximum effect. The second most important antihistamine drug is Diphenhydramine. It strengthens the action of Tavegil and Suprastin. Euphyllin is widely used. It eliminates spasms of the bronchi.

In addition to drugs, the first aid kit should contain supplies. These are bandages, syringes, cotton wool, gauze, ethyl alcohol. It is desirable that there is a venous catheter, as well as a physiological solution for secondary care. The first aid kit includes the presence of Diazepam, a remedy that can depress the nervous system.

If an anaphylactic shock occurs, the drugs should be applied immediately. It will help to save a person's life. It is important to have at hand such a set, it applies to any institution.

Order 626

This order clearly regulates all medical manipulations that must be carried out. It also indicates not only a list of all actions, but also the frequency of their conduct, as well as repetition.

Despite this, Order 626 does not directly point to the points that a doctor or paramedic should follow. Simply put, a general list of actions is indicated here, without division of duties. What can cause some difficulty when carrying out manipulations.

In the end, inconsistency arises. This can complicate the process of providing emergency care and lead to some complications. The information stated in the order is the so-called standard of action, to which one should listen. They are based on foreign trends. As for the first-aid kit, by order 291, it is somewhat inaccurate. This can make it more difficult to conduct all manipulations.

Order 291

Order 291 includes a detailed description of all the actions that must be performed in the provision of first aid, to a person who develops anaphylactic shock. Here it is described in detail what to do and in what order, in a hospital setting.

A more complete diagnostic algorithm, as well as preventive measures, are also available here. That several times facilitates the provision of emergency assistance to the victim. Order 291 describes step by step what and how to do. Even a person without medical education can take action. In the order, everything is described at an accessible level, especially for those cases when, for some reason, the ambulance does not have time to arrive on time. Yes, and anaphylactic shock can have a lightning form, waiting for help in this case is dangerous, you need to act on your own. A detailed description of all the procedures just helps this.

It is worth noting that when there is a shock, you need to react quickly and do everything right. Therefore, in order 291, the whole algorithm of actions regarding primary and secondary care is described. There is also an approximate kit of the first aid kit, which should be in all institutions. Anaphylactic shock can develop anywhere.

Order 764

According to this order, there must be a special corner in the doctor's office. A few words about this corner. There should be a reminder in which the algorithm of actions is indicated when the patient develops anaphylactic shock. The full tactics and sequence of all the procedures for saving lives are described. In addition to the memo, the algorithm for conducting a professional vaccination is also indicated. Its main purpose is to prevent the development of measles, rubella and mumps. Vaccination should be carried out at the set time. In addition, they indicate the list of essential medicines that are used to help people. So, the list of drugs includes prednisolone, suprastin, heparin, furosemide and hydrocortisone.

In addition to all the above, the office should have a bed with all accessories. Also, special bedside tables, a quartz lamp, dishes. Required are a table with chairs, a bag for dirty laundry and a separate tableware.

With regard to medicines, it means the use of antibiotics, antiallergic drugs, antispasmodics. All of them will help in solving the problem. Naturally, there must be special means for stopping the heart, as well as items for first aid to the victim.