ANAPHYLACTIC SHOCK(ANAPHYLAXIS) EMERGENCY MANAGEMENT PROTOCOL,ANAPHYLAXIS REACTION TREATMENT NURSING

ANAPHYLACTIC SHOCK(ANAPHYLAXIS) EMERGENCY MANAGEMENT PROTOCOL,ANAPHYLAXIS REACTION TREATMENT NURSING
In this video on anaphylactic shock (anaphylaxis reaction) I have talked in detail bout causes triggers and treatment and management protocol of anaphylactic reaction. Anaphylaxis reaction treatment and management is highly tested topic on usmle exams and nursing exams. therefore, in this video on anaphylactic shock emergency management I have discussed how to manage an anaphylactic reaction step by step. Type 1 hypersensitivity reaction is involved in pathogenesis of anaphylaxis. Emergency medicine Lecture series is clinically oriented with a practical approach so that doctors can bravely handle any emergency within and outside the hospital.
Chapters:
(0:00) What is Anaphylactic Shock
(1:16) Causes and Triggers of Anaphylactic reaction
(1:52) Sign & Symptoms of Anaphylaxis
(3:27) Treatment of Anaphylactic Shock
(7:30) How to discharge a patient with anaphylaxis?
(8:13) Impotant Point
(9:05) Summary
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[@MedNerdDrWaqasFazal]

IMPORTANT CLINICAL POINTS: Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy, effective) Recommended Doses: Child less than 6 years old: 150 micrograms IM (0.15ml 1 in 1000) Child 6 to 12 years old: 300 microgram IM (0.3ml 1 in 1000), Child more than 12 years and Adults: 500 microgram IM (0.5ml 1 in 1000), This Equates to 0.5mg Adrenaline First, then Chlorphenamine DON'T FORGET TO CLICK ON SUBSCRIBE BUTTON :) FOLLOW ME ON Instagram: instagram.com/docwaqasfazal/ Facebook: facebook.com/Drwaqasfazal

[@nikkichavan8431]

Do we need to dilute adrenaline?

[@abdulrazzaq7482]

Thank you so much sir for your efforts .

[@saumenchatterjee1885]

Is there any role of ionotropic agents such as dopamine?

[@kamalpreetkaur8313]

P PPPpppppp

[@drabidali18]

To prevent anaphlacting shock can we give any anti allergic medicine prior to give any I/v medicine which you mentioned in your list probably causing anaphlacting shock

[@maihassan2725]

what i've learned from the video: 1-anaphylactic shock is acute systemic IgE mediated type I hypersensitivity reaction occuring within minutes to seconds after being exposed to a foreign substance 2- release of histamine in anaphylactic shock causes wheezing, cyanosis, oedema and urticaria 3- management of anaphylactic shock is done by securing airway, give 100% oxygen and intubate if there is still respiratory depression, remove the cause if possible and raise the patients feet to increase the blood flow to the brain 4- give adrenaline intramuscular 0.5 mg and repeat every 5 minutes if no improvement occurs 5- give phenylamine which is an antihistamine to antogonize the action of histamine 6- give hydrocortisone 200mg to suppress the immune response to the allergen 7- give fluids 0.9% to support the blood pressure 8- if the patient is on beta blockers give him Iv salbutamol instead of adrenaline

[@davinderkbhangal6257]

Excellent job doc sahib I m 60 plus dr I find ur videos very helpful in day to day practice though I m a radiologist Thanks a lot

[@MedNerdDrWaqasFazal]

Thank you very much sir.. I am very happy to hear that. 😊

[@musaddiqsiddiqui7535]

Zabardast presentation.Thanks Dr.Sahab.JazakAllah!🎉

[@NAGARAJAN146]

Excellent presentation.Very clear explanation. Thank you,Sir.

[@sehattaazgi448]

Thank you so much for your valuable knowledge

[@meditationmusic2093]

Thank you very much sir for your crystal clear practical approach of teaching every topic which is useful in clinical practice

[@MedNerdDrWaqasFazal]

Thank you very much. I am glad that you found my videos helpful. I read your all kind comments. So Nice of you. 😊 ❤️

[@priyankajohn6007]

Very informative. Thank you.

[@dr.jobayerahmed8703]

Nice presentation. Thanks dr

[@ashfakahamed2335]

Sir u r inspiring us to dive in to emergency medicine , making it more ec ,May allah bless u sir ❤

[@clinical101]

بارك الله فيك❤❤❤

[@mzareef4359]

Highly commendable

[@drgnsingh5331]

Thanks for valuable information

[@abhaykairati7067]

Excellent explanation sir

[@mayohospital830]

Amazing presentation sir

[@shashankmishra5254]

Marvelous!!

[@melesemengesha9871]

Keep up doc nice explanation

[@lalitrai7456]

Excellent and explained in such a simple way, please make more videos 🙏

[@MedNerdDrWaqasFazal]

Thank you Lalit 😊

[@akbardr297]

thank you sir, for such a wonderful and Comphernsive lecture

[@MedNerdDrWaqasFazal]

So Nice of you. 😊

[@pravinkhade6896]

Sir outstanding teaching with excellent conceptual explanation and presentation I am very because you are my best teacher

[@MedNerdDrWaqasFazal]

So kind of you 😊

[@subratamridha9740]

Great lecture ❤❤

[@lavida49]

Perfect thanks a lot doctor 🌺✨

[@ajajshaikh4724]

Excellent video

[@asadkamal8536]

Doctor Sahab You doing it sooooooo finely, keep it up

[@SS-fc2vc]

Thank you so much sir!!!!!Topic is crystal clear for me now sir!!!!Please upload more stuff sir!!!Regards😇😇

[@MedNerdDrWaqasFazal]

Sure I will. Keep supporting 😊

[@pandurangrotithor]

Excellent!

[@happypills7978]

Thanks again 🙏

[@abdulkhan1207]

Tnx sir for outstanding explanation

[@sanatehmi711]

Nice explanation 👍👏👏

[@ezekielmurimi6874]

Thanks very much for this wonderful lesson

[@MedNerdDrWaqasFazal]

I read all your comments. So kind of you. Keep supporting 😊

[@ashvintiwari6146]

Thank u sir. Ur best

[@teedtad2534]

Good tips!

[@sampatherekar2652]

Thank you very much sir

[@naziaumar3169]

U r really great👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍

[@MedNerdDrWaqasFazal]

So Nice of you Nazia Umar 😊

[@Plinktitioner]

Thank you!

[@healthcarebydr.shazia9360]

Amazing

[@abdulqadirsiddiqui4036]

Very informative, impressive and value able, easy to remember

[@MedNerdDrWaqasFazal]

Glad it was helpful!

[@bikramsahoo747]

Verry good sir

[@idkwhattonameit8359]

Jazak Allah ! Could you please do these topics too ( Electrical injury , drowning , carbon monoxide poisoning )

[@user-zx2ue2hw3l]

amazing

[@rojaranik2722]

Thank u sir

[@drkhalidansari9012]

Very good explanation

[@MedNerdDrWaqasFazal]

Thank you Dr. Khalid Ansari 😊

[@tahiralmarimi7006]

Thank you

[@theAlii]

Tooo good

[@khdr4165]

Thank you so much sir. One question please, a couple days ago, we had a patient who was presented to the ER with dyspnea after an allergic reaction to a contrast dye. The thing is that he was hypertensive not hypotensive. His blood pressure was 180 over 100 !. So the question is, is it also possible for an anaphylactic patient to present with hypertension instead of hypotension?? And does the treatment differ in such case, so can we still give normal saline or Adrenaline?

[@vikramrana1517]

Sir ,thx.for valuable lecture. Requested to please upload lecture on noradrenalin (norepinephrine) .

[@MedNerdDrWaqasFazal]

Sure Vikram... I will 😊

[@hudaayied2312]

Thanks

[@Knowledge.about-medicinee]

Thanks million time sir ....i first time came to knw that instead of epi. We can give slbutamol n pt on b blocker...

[@MedNerdDrWaqasFazal]

Ramiz Khan I am glad you found it helpful. 😊

[@syrono]

Thank u for the eye opening video! Can i ask for Iv salbutamol in ur last slide, what is the recommended dosem

[@vithalsarwaikar6316]

Regard, s excllent illusttation

[@javed1992akh]

Sir Plzz upload more videos on emergency medicine

[@user-eg6tf7cg6y]

♥️♥️♥️

[@blessysucharita8263]

Can you please make a video on choice of usage of ionotropes in children.

[@uptodate6533]

❤

[@medicothedoctor3301]

Waqas bhae if you can provide us the notes of your videos.it will help us alot in revision.. thank you so much

[@anonymous-td2wy]

Can you do a video on rabdo, gi bleed and burns in the er i would greatly appreciate it your videos are beautiful!

[@MedNerdDrWaqasFazal]

I already have a video on esophageal varices bleed and will surely upload more videos on the above mentioned topics. 😊

[@anonymous-td2wy]

@@MedNerdDrWaqasFazal thank you so much!

[@cjreddy2607]

Sir Excellent teacher Blessed to. Listen Are there short practical courses in your hospital I am from AP

[@babarkhan-dd2xl]

Sir kindly make vedio on hypersensitivity types

[@MedNerdDrWaqasFazal]

Sure Babar Khan. Stay tuned 😊

[@sunilhardas5273]

If intubation is difficult then cricithyrodotomy with a wide bore needle can be life-saving.

[@rambihari8838]

We can't give directly Adeline to the patient so u should explain how it's is given

[@MedNerdDrWaqasFazal]

Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy, effective) Recommended Doses: Child less than 6 years old: 150 micrograms IM (0.15ml 1 in 1000) Child 6 to 12 years old: 300 microgram IM (0.3ml 1 in 1000), Child more than 12 years and Adults: 500 microgram IM (0.5ml 1 in 1000), This Equates to 0.5mg Adrenaline First, then Chlorphenamine

[@radioaktivguy8789]

Btw the asthma treatment, u meant was for acute asthma attack or asthma. And according to gina2022 ics plus a laba such as fulmetrol given now

[@abhaykairati7067]

Sir please make vedio on dose titration in hypertension and diebetes mellitus

[@MedNerdDrWaqasFazal]

Abhay Kairati,sure I will. 😊

[@medicallibrary1594]

What is the sulbutamol dose and is it given stat or in infusion.. Plz tell us about dose

[@MrR952]

Sir . I am from Bangladesh 🇧🇩 I really like your videos. Sir , Exactly 4 month ago I took a Rabies Ig vaccine then suddenly I feel Dizzy and chest pain .And i was seat down immediately on chair. After 2-3 minutes I started to feel good. I was not going to the hospital this time. I had no skin rash nothing. Just suddenly feel dizzy and had chest pain for 2 minutes. Now after 4 months I have no skin rash. Does it was Anaphylaxis or something? I will be waiting for your Ans. Thank you ❤

[@dr.vikrantpatil3289]

Sir can we give avil(pheniramine maleate)/chlorpheniramine/promethazine injections for allergic reactions triggered by cns depressant drugs like dicyclomine/pregabalin/clonazepam/tramadol/muscle relaxants(thiocolchicoside/tizanidine/chlorzoxazone) etc...and if yes then should we need dose adjust ment aof antihistamines for that.

[@mehranlaghari118]

Aslam alekum sir Sir what will be dose of salbutamol in patients already on beta blocker and can we repeat like adrenaline

[@mohsinkhan-wl8xd]

good work and impormative continue such topics love u sir

[@MedNerdDrWaqasFazal]

Thank you very much Mohsin Khan for your love and support 😊

[@shahidhazel3377]

Sir can we give Nor adrenaline with a patient having beta blocker since it is a vasoconstrictor and salbutamol?

[@shuvoshuvo9365]

Sir plz reply Adrenalin is Epinephrine Epifen is gabapantene Are they same?

[@smish2931]

Sir what if there is only cutaneous manifestations lip , eyelid edema, erythema, urticaria but no hypotension. Do we still give adr. And what about investigations?

[@AbdulSattar-ix3nu]

There is no role of antihistamines like avil in anaphylactic shock..?

[@anjaananjaan5107]

Good information. Can anti-histamine tablets help, if patient had a reaction and is away from hospital?

[@MedNerdDrWaqasFazal]

Antihistamine tablets Can be used if patient is not having respiratory airway edema to manage anaphylaxis. If there's respiratory edema then the best thing is epinephrine! Antihistamine won't be effective in such case.

[@Aj-yn3pj]

amazing!

[@arsenaldream2156]

Can you please tell us about the doses of these medications for infants and children presented with anaphylactic shock in ER

[@MedNerdDrWaqasFazal]

Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy, effective) Recommended Doses: Child less than 6 years old: 150 micrograms IM (0.15ml 1 in 1000) Child 6 to 12 years old: 300 microgram IM (0.3ml 1 in 1000), Child more than 12 years and Adults: 500 microgram IM (0.5ml 1 in 1000), This Equates to 0.5mg Adrenaline First, then Chlorphenamine

[@motivationalspeaker8750]

​@@MedNerdDrWaqasFazal After how much time we can repeat dose if patient isn't relieving

[@aiimsuntamed6533]

Sir what is the reference book which you teach ?

[@shreyadevde8630]

aisa lagata hai ki ,sarswati maiya aapake tounge mein samayee hui hai

[@shrinivasshrinivas2832]

Sir could you please explain the mg /kg body weight and also conversion eg 0.01 ,0.25,etc how to give , im requesting you sir please make. Another video above request

[@AbdulSattar-ix3nu]

How to manage drip reactions

[@terrifyingJ]

Sir how to give adrenaline iv infusion , at how much rate

[@joycebanzon9236]

What i a cute to cetral vertigo patient.

[@Unitedbloge]

Not having parmanent treatment?

[@ZahidHussain-ht4tw]

First

[@kokowin9870]

If the patient is cyanosis, there must be respiratory accidosis. You must give sodium bicarbonate 200 ml infusion immediately.

[@arjunsr1338]

Not always cynosis is with resp acidosis...if the patient already with low HB..??

[@drasadmasood572]

Sir acute pancreatitis very much needed

[@MedNerdDrWaqasFazal]

It has been uploaded. Please check 😊

[@drasadmasood572]

Thanks sir 💕

[@kalpeshoswal6285]

What is difference if we give phenaramine instead of chlorphenaramine Can phenaramine causes hypotension? If patient is in shock, he is in tachycardia and in such patient if we give adrenaline that will cause further tachycardia... How to manage that Pls sir do reply.. I m in search of answer of these questions Thanks a lot ❤

[@spicyfoodvlogs8408]

Sir plz help me mujhe shiver एलर्जी hui h

[@rajendrajalan9706]

pulmonary fuction test

[@ashwaqeltayeb925]

Can translated to arabic?

[@baldevsharmabhardwaj7306]

Ooomo

[@shamakuma1967]

Ye tho pakistani hai

[@rajeshagichani2565]

Words not clear.

[@MedNerdDrWaqasFazal]

Please trying using headphones

[@ashfakahamed2335]

Sir u r inspiring us to dive in to emergency medicine , making it more ec ,May allah bless u sir ❤