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teaching for avoiding anaphylactic reactions to bee stings
- avoidance of the allergan
- wear/carry med alert
- teach to prepare and admin epinephrine subq-apply tourniquet
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dyspnea, wheezing, urticaria of arms and face post bee sting. immediate care
assess respiratory status
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pernicous anemia is
progressive megaloblastic, macrocytic anemia, affecting mainly older people that results from a lack of intristic factor essential for the absorption of vitamin B12
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immunodeficiency disease is
altered and failed immune response
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safety measure for pt receiving first time intradermal injections for allergy testing
observe the pt for at least 20 mins after admin bc a hypersensitivity reaction or anaphylasis may occur
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pt misses allergy shot last week. what is proper protocol
consult dr
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Imuran:
critical nursing goal:
- corticosteroid
- infection-avoid infected people, aseptic technique, prophylactic antibiotic therapy and good skin care
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teaching for client with allergic reactions to bee stings
- avoidance of the allergan
- teach to prepare and admin epinephrine
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what are significant risk factors for allergies
genetic, developmental defects, infections, malignancy, injury, drugs or altered metabolic states
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pt c/o of itching at site of skin testing, weakness, and dizziness. what is appropriate of the nurse to initially do
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when PCN injection is given, what is appropriate action for the nurse
assess for allergic reaction
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what is the purpose of cyclosporine given after kidney transplant
slow graft rejection
-
what are cell-mediated responses
delayed hypersensivity
-
anaphylaxis:administer:
0.2-0.5ml of epinephrine 1:1000
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hypersensitivity is delayed major process that leads to
cell mediated responses
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what is immunotherapy on a perennial basis
- most widely accepted
- higher cumulative dose produces better effect
- admin subq
- observe pt for at least 20 mins after admin
-
the first evidence of immunodeficiency would be
an increased susceptability to infection
-
cytotoxic drugs do what
immunosuppression-serious side effect
-
the purpose of plasmapheresis is to
remove pathologic substances present in plasma
-
correct nursing intervention for anaphylaxis
assess respiratory status, circulatory status, monitor vs, I&O, mental status, skin status, GI status
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what are the 5 factors influencing hypersensitivity response
- host response to allergen
- exposure amount
- nature of the allergen
- route of allergen entry
- repeated exposure
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assess the pt for hypersensitivity, you should
- obtain a comprehensive history
- identify the allergens that may have triggered the response
- determine time of yr the allergic reactions occur
- obtain info about any OTC or prescription meds that the pt is taking
- clinical manifestations
- ask about pets, plants, trees, etc
- have pt keep dairy of food and any reactions
- review questions about the pts lifestyle and stress level in connection with allergic symptoms
-
what is an antigen
substance recognized by the body as foreign that can trigger an immune response
-
how long can blood be out of the refrigerator
4 hours
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what is the procedure for admin blood
- cross match
- microaggregate filters
- monitor for adverse effects
-
s/s of blood reaction
what do you do if pt has chills, itching, and sob
- dermatitis, diarrhea, fever, chills, urticaria, cough, orthopnea, wheezing
- stop the transfusion and continue with saline admin antihistamines, epinephrine
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mild reaction to blood transfusion
- delayed, s/s dermatitis, diarrhea, fever, chills, urticaria, cough, orthopnea, wheezing
- transmission can continue at a slower rate
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nursing diagnosis for pt that has experienced an anaphylasis reaction and is being monitored for stability
- ineffective breathing pattern r/t edema, bronchospasm, increased secretions
- decreased cardiac output r/t decreased capillary permeability, vascular diliation
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if a person is sensitive to latex, what else might they be sensitive to
- avocados
- guava
- kiwi
- bananas
- water chestnuts
- hazelnuts
- tomatoes
- potatoes
- peaches
- grapes
- apricots
- peanuts
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the innate system is composed of
- skin
- mucous membranes
- cilia
- stomach acid
- tears
- saliva
- sebaceous glands
- secretions and flora of the intestine
- vagina
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