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Doctor insights on: Anaphylaxis Epinephrine

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If someone was going into anaphylaxis shock, and no epinephrine was available and emt was 15mins away what could one do to keep the victim alive ?

If someone was going into anaphylaxis shock, and no epinephrine was available and emt was 15mins away what could one do to keep the victim alive ?

Steroidantihistame: AS Dr. Michael Zacharisen suggests you need to deal with physical shock. In addition, a large dose of any glucocorticoid such as prednisone, or decadron should be given, if available. Have them chew the pills for faster absorption, and antihistamines like Benadryl in normal doses can help. Pseudoephedrine, while not recommended if you have these other medications, can help sustain blood pressure. ...Read more

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Dr. James Lin
442 doctors shared insights

Adrenaline (Definition)

Adrenalin(e) / Epinephrine is the hormone produced by the adrenal medulla that speeds and strengths the heart, dilates the airways, and shifts blood flow to the muscles. Often this is in response ...Read more


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What happens if epinephrine doesn't work during anaphylaxis?

What happens if epinephrine doesn't work during anaphylaxis?

Epinephrine: Known as epipen (epinephrine) can be given uo to 3 times 5 minutes apart to get a response, usually you get a good response from first dose, unless patient is on beta blockers you may need the extra doses or need glucagon ...Read more

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What if someone has anaphylaxis and they are allergic to epinephrine? Also, is it possible to be epinephrine resistant?

What if someone has anaphylaxis and they are allergic to epinephrine? Also, is it possible to be epinephrine resistant?

Not possible: I know of no one who is allergic to Epinephrine even though you may get shaking or rapid heart beats from it. However i would take the side effects anytime if I have an anaphylactic reaction. If the anaphylaxis is severe and the treatment is delayed, you may not respond to Epinephrine alone and IV fluid may well be needed. ...Read more

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If one has serious anaphylaxis, it is necessary to carry an epipen (epinephrine) around?

If one has serious anaphylaxis, it is necessary to carry an epipen (epinephrine) around?

Anaphylaxis serious: Absolutely! although anaphylaxis is not necessarily resolved with injectable Epinephrine it is the only treatment that will hopefully give you time to get to emergency care. It is then imperative to be seen by a board certiified allergist to try to identify the cause of the anaphylaxis. Anaphylaxis can be fatal. Carry your Epipen (epinephrine) and see the allergist! ...Read more

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Is their anything else i can be prescribed for emergency instead of epipen (epinephrine) incase of anaphylaxis. I'm on propranolol long term.

NO: If you have anaphylaxis, ( a condition with life threatening respiratory compromise and shock) Epinephrine is life saving and should be administered as soon as possible. For less serious reactions, you can take oral antihistamines and corticosteroids instead. ...Read more

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What if a person presents to the hospital with anaphylaxis that doesn't respond to multiple shots of epinephrine... What other steps are taken?

What if a person presents to the hospital with anaphylaxis that doesn't respond to multiple shots of epinephrine... What other steps are taken?

Fluid: Since some of the plasma (blood without the cells) has often gone out of the circulation to form the tissue swelling, people in anaphylactic shock often needs fluid replacement. If your heart rate is very slow during the shock (most cases have faster but faint heart rate), Atropine may be considered. They may also intubate you. The later you seek treatment, the worse the outcome. ...Read more

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I carry an epipen (epinephrine). How long would it take for anaphylaxis to occur if i ate something containing peanuts?

I carry an epipen (epinephrine). How long would it take for anaphylaxis to occur if i ate something containing peanuts?

Varies: Typically within a few minutes and up to 30 min. It can take longer, but this is rare. Go to the emergency room if you suspect anaphylaxis, and use your Epinephrine auto injector (epipen, auvi-q) if so indicated. ...Read more

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Can an adult epipen (epinephrine) be used on a child during life threatening anaphylaxis? My 7 &9 yo sons have had hive reactions in the past. I keep an epi for me.

Can an adult epipen (epinephrine) be used on a child during life threatening anaphylaxis? My 7 &9 yo sons have had hive reactions in the past. I keep an epi for me.

No, need kid's dose: First off, if your kids have only reacted with hives, you need to not over-react unless they have a history of anaphylactic reactions to various things. This should be investigate by a qualified allergist if you are concerned. Second, if their allergies warrent using an epipen, (epinephrine) then need to have their own, which will contain an kid's dose vs an adult dose. ...Read more

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Dr. Tia Tortoriello
984 doctors shared insights

Epinephrine (Definition)

Epinephrine is a rhythm control agent which is a ...Read more