HISTORY:
of the for
Onset: , after exposure to
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Eyes: -R: , -L: ,
Throat:
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Skin:
Extremities: , , cap refill , pulses ,
Musculoskeletal: joints ,
Mental status: , , speech , mood , thought process , , judgment
ASSESSMENT:
DDx:
PLAN:
-
-
-
-
- Normal saline 1L bolus
- Glucagon 1-10mg iv if refractory to epinephrine and on beta-blocker
- NPO
- Avoidance of known triggers
- Sting removal
- Stop ACE inhibitors
- Call anesthesiologist for intubation
- Referral to allergist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as difficulty breathing, swelling of the lips or tongue, or dizziness
- Go to ER if severe allergic reaction occurs