Treatment for anaphylaxis?

Posted on: Fri, 11/03/2006 - 12:24am
krc's picture
krc
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Joined: 01/16/2007 - 09:00

With the holidays coming up, (which = family functions and tons of food...some safe, some not so safe. PA dd will only be eating what I bring but situations can still occur) my family was going though our allergy action plan last night. We were "practicing" for upcoming dinner at inlaws in a slightly remote location (@15 min from nearest hospital)
We went over all the signs and symptoms of allergic rx and our protocol.
Here is my question, say PA dd is in anaphylaxis...Epi has been given along w/Benadryl (she is also asthmatic, so inhaler?) 911 has been called....but it is taking longer than it should and dd is still not improving? What do you do? At what point is 2nd Epi given? After 15 minutes? What would you do? We've practiced before but the scenario always seems to end at Give Epi, Call 911 and then all is well. (our first and last ana rx was 8 years ago)
If there is a link to this being discussed previously- I'd love to see it! (Did a search but couldn't find)

Posted on: Fri, 11/03/2006 - 12:42am
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Joined: 04/02/2003 - 09:00

I've been told by dr that after 15 minutes to give 2nd epi pen. How long would you expect 911 response? Here, we would ask for a paramedic b/c they can administer meds. our EMTs are allowed to carry epinephrine, but do not in our town anyway.
Also, what not so safe foods do you anticipate? I'm sorry, but especially at family functions, I need to know all foods out are safe regardless if DS is going to eat it.
Also, I have read a lot about positioning during anaphylaxis. There was a thread awhile ago. To help with dropping blood pressure, person should be laying down with feet elevated. I think this is a key part of handling anaphylaxis.

Posted on: Fri, 11/03/2006 - 1:00am
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I would hope ambulance would arrive quicky...I guess I was just wondering what to do in worst case scenario.
As for unsafe food at family functions, this has been an ongoing stuggle for us w/in-laws. As much as I try to educate this VERY large family, something always seems to sneak in--uuugghh! It's been VERY frustrating. A whole other issue in itself [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]
Yes, positioning...that's very helpful to know. My allergist has never mentioned when to administer second Epi but I thought I had heard after 15 minutes. Would hope it would never get to this point but always better to be prepared right?

Posted on: Fri, 11/03/2006 - 1:10am
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I`ve used the epi and it held her for about two hours. I know it is supposed to last 15 mintues, but it lasted way longer than that. After about two hours she got this non-hive rash, but nothing else. I thought you might feel better knowing that sometimes the epi holds them much longer. Even if it takes paramedics a long time to come, you may not need a second dose. About the inhaler, within 60 seconds of using epi, she was completely fine, as though nothing had happened. Her wheezing was gone.

Posted on: Fri, 11/03/2006 - 1:10am
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Thank you Saknjmom for re-raising other threads [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Fri, 11/03/2006 - 1:24am
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Carefulmom- yes that does make me feel better to know.
I was amazed at how quickly the Epi helped after dd's 1st rx. We stayed for a few hours and they sent us home with epi rx. No one even mentioned a biphasic rx to me then!
Somedays I think about the "what ifs" and it makes me feel so much better to have a thought out plan- KWIM? Eases alot of the anxiety.
Sometimes it's just amazing to me how much our Epi-pens mean to us. If we accidently leave the house w/o medicine bag (which almost never happens) I immediately turn around to go home and get it with a feeling of nakedness. It's like forgetting to wear clothes outside....or accidently leaving w/o one of the kids!

Posted on: Fri, 11/03/2006 - 3:16am
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Joined: 05/28/2009 - 16:42

I don't think 15min away from hospital is that far! We do have a close one but I would chose the further one about 20 min away b/c they have pediatrics emergency room. We have one close to my house about 5 miles. We are having Thanksgiving here for that reason. My parents do not understand the severity of the allergy. I will not be serving pecan pie even though he is not allergic. I am going to turn anything away that has nuts that someone brings. I can hear them now "but he is not allergic to tree nuts he will be fine" my response if you want to stay here and eat put that in the car.

Posted on: Fri, 11/03/2006 - 3:24am
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josh's mom- you're right, 15 min. isn't that far. I think I've been spoiled by only living @3 miles from one! I think I'm more nervous that we will be 2 hours from home and I haven't heard very good things about the hospitals close to where we will be. (and given the choice I also drive to the pediatric hospital which is about 20 min. away)
Like I said, while thinking about the "what ifs" I wondered what would I do if I couldn't get to help and had already given first Epi? It is something I had never really contemplated before. Actually, just had tried to never be in the situation but things happen ya know? I'd like to think I'd be prepared.

Posted on: Fri, 11/03/2006 - 12:34pm
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I'd go with every 15 minutes as we just went thru this with my son last week (see previous thread with abt 60 hits). Five minutes was too far from the hospital in our case. My son self-administered a dose in route to the hospital and I know they repeated the adrenalin twice in the ER. I know we hesitated on the first epi-dose and it almost cost him his life as the PA was delayed (about 45-50 minutes after ingestion then it hit really hard!). I don't know why it was so bad, but it was near fatal. Now, my son carries a letter from the allergist to direct an emergency room if needed in addition to the usual meds. If you had an emergency, you would instinctively pick the closest hospital. We gotta go on, but damn if I'm not really paranoid now...and really freightened.
[This message has been edited by imgms (edited November 03, 2006).]

Posted on: Sat, 11/04/2006 - 1:21am
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Joined: 10/14/2006 - 09:00

This thread is very interesting to me. Luckily my 4 year old PA DS has only had a minor reaction when he was 1 1/2 yrs. old, which was not an ingestion and the Benadryl stopped the reaction thankfully. However, I now carry the EPi and the Benadryl and have never had to use it. Thank Goodness! But in this thread and some others, I've read about using inhalers and some other medications that sound like I guess steriods of some sort. Can anyone explain to me why they have other medications and is it something I should bring up to my allergist? Thank you ALL so much. This website is a blessing of a resource. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Sat, 11/04/2006 - 6:49am
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2boys2luv- In our case my Pa dd is also asthmatic.

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