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How Long Should We Monitor After Giving IM Epinephrine for Anaphylaxis? Bottom Line Up Top: After prompt recognition and appropriate treatment with IM epinephrine, the risk of biphasic reactions are exceedingly low. At the time of discharge, appropriate patient education and prescriptions for IM epinephrine are essential.
Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. Urticaria and pruritus = MAST CELL mediated, which is treated like a standard allergicreaction. In: UptoDate, Feldweg AM (ed.) of people who take NSAIDs ( Nzeako 2010 ). Emergency Medicine Practice. EBMedicine.net.
Background: Diphenhydramine, a first-generation antihistamine, is the most common pharmacologic agent used to treat acute allergicreactions. Key Secondary Endpoints: 5 (3.9%) patients in the IV cetirizine group returned to any ED or clinic within 24 hours compared to 15 (11.1%) in the IV diphenhydramine group; P=0.04
Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergicreaction after accidentally eating a potential allergen, then developing an itchy full body rash and diarrhea. In the ED he received methylprednisolone, diphenhydramine, and epinephrine for possible anaphylaxis.
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