Professional Documents
Culture Documents
2. Complete
the
gaps
in
the
summary.
Anaphylaxis
is
________________________
and
can
occur
at
any
time.
Milder
forms
of
from anaphylaxis before. In areas where native Myrmecia ant species are
rhinitis
Mucocutaneous Zones a) _____________________
b) _____________________
c) _____________________
d) _____________________
h) _____________________
g) ___________________ dizziness
confusion
i) _____________________
j) _____________________
Throat and chest tightness
k) ______________________
Respiratory coughing and wheezing
l) ______________________
m) ______________________
n) ______________________
Cardiovascular o) ______________________
cardiac arrest
allergy?
_________________________________________________
_________________________________________________
_____________________ required.
symptoms.
o Specialist assessment
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
__________________________________________
o Wearing a ___________________________________________________
________________________________________________
_________________________________________________
allergies?
_______________________________________________
_______________________________________________
End
of
Part
B
You
now
have
2
minutes
to
check
your
answers.
Now check your results and add up your score with on the answer sheet.
Your Score________
Total
Marks
42
To
pass
the
listening
test
you
need
to
get
at
least
65%,
so
for
this
exam
you
need
to
get
at
least
Answer
Sheet
Total
Marks:
65
One
mark
for
each
correct
answer.
Underlined
words
essential.
Variations
in
vocabulary
and
grammar
are
acceptable
Slash
/
indicates
alternative
answers
Brackets
(_______)
indicate
optional
details
which
do
not
need
to
be
included
Question
1
breathing
difficulties
rash
oedema
hayfever
eczema
asthma
can
occur
with
no
previous
exposure
to
the
allergen
radiographic
contrast
material/dye
injected
into
arteries
Question
2
life-threatening
fatal
1
in
170
1/170
1
in
50
1/50
stings
uncommon
1
per
3
million
,1/3million
studies
episodes
food
allergy
dermatitis
Question
3
c
true
false
false
a
c
Question
4
a) hives
b) (intense)
itchiness
c) oedema/swelling
d) watery
eyes
e) abdominal
f) nausea
g) neurological
h) (throbbing)headache
i) loss
of
consciousness/collapse
j) incontinence
k) dysphagia
l) dyspnoea
m) cyanosis/
bluish
ski
discolouration
n) palpitations
o) rapid
heart
rate
Question
5
a) poorly
controlled
asthma
Transcript
What is Anaphylaxis?
Anaphylaxis is a serious, rapid-onset, allergic reaction that can result in death. Severe anaphylaxis affects the whole body and is
characterised by life-threatening upper airway obstruction, breathing difficulties, rash, oedema and in some cases hypotension
leading to shock . Anaphylaxis in children is most often caused by food and breathing difficulties is a common symptom.
Importantly, there is usually a background of hypersensitivity reactions, such as hay fever, eczema or asthma.
Anaphylaxis is a medical emergency where immediate treatment is needed to prevent potential death.
When exposed to a foreign substance, some people suffer reactions identical to anaphylaxis, but in which no allergy is involved.
These reactions are called anaphylactoid, which means anaphylaxis-like reactions. In anaphylaxis, the immune system must be
"primed" by previous allergen exposure. On the other hand, anaphylactoid reactions can occur with no previous allergen
exposure at all. An example of something that can bring on an anaphylactoid type of severe reaction is radiographic contrast
material:the dye injected into arteries and veins to make them show up on an x-ray. Although the mechanism of an
anaphylactoid reaction is different, the allergy treatment is the same.
Pause: 15 seconds
Now read question 2
Pause 15 seconds
Now answer question 2
There is some evidence that the incidence of food allergy and anaphylaxis like that of allergic rhinitis and atopic dermatitis
may be increasing.
Pause: 15 seconds
Now read question 3
Pause 15 seconds
Now answer question 3
In emergency department studies, food allergy is the commonest cause in children responsible for about 80% of anaphylactic
reactions in which the cause has been identified whereas, in adults, foods are implicated in only 20%30% of cases.
Pause: 15 seconds
Now read question 4
Pause 15 seconds
Now answer question 4
The signs and symptoms of anaphylaxis may occur almost immediately after exposure or within the first 20 minutes after
exposure. Rapid onset and development of potentially life threatening symptoms are characteristic markers of anaphylaxis.
Clinical Features
The clinical features of anaphylaxis can be classified into the following categories.
The mucocutaneous zones which includes lips, nostrils, eyes and anus and vagina in females
Pause: 15 seconds
Now read question 5
Pause 15 seconds
Now answer question 5
Respiratory symptoms are more common in children, whereas cardiovascular and cutaneous symptoms dominate in adults. In
part, this may be related to the higher frequency of atopy, asthma and food allergy in children. Pre-existing lung disease is
associated with an increased frequency of respiratory difficulties from any cause and poorly controlled asthma appears to be the
Confusion, collapse, unconsciousness and incontinence are strongly associated with the presence of hypotension and hypoxia. In
adults, the occurrence of dyspnoea, profuse sweating, nausea, vomiting and abdominal pain are also significant, as they correlate
with the presence of low blood pressure.
Pause: 10 seconds
Now read question 6
Pause 10 seconds
Now answer question 6
Anaphylaxis is an emergency condition requiring immediate professional medical attention. Assessment of the ABC's as in the
Airway, the Breathing, and the Circulation should be done in all suspected anaphylactic reactions.
Adrenalin is a drug that should be given by injection without delay. This opens the airways and raises the blood pressure by
constricting the blood vessels. Adrenaline comes in multiple formats, one of them called Epipen that might be carried by
individuals. CPR (cardiopulmonary resuscitation) should be initiated if needed. People with known severe allergic reactions may
carry an Epi-Pen or other allergy kit, and should be assisted if necessary.
Emergency interventions by paramedics or physicians may include placing a tube through the nose or mouth into the airway or
emergency surgery to place a tube directly into the trachea. Treatment for shock includes administering fluids intravenously
through the veins as well as medications that support the actions of the heart and circulatory system. Antihistamines and steroids
may be given to further reduce symptoms after lifesaving measures and adrenaline are administered.
Anaphylaxis is a severe disorder which has a poor prognosis without prompt treatment. Symptoms, however, usually resolve
with appropriate treatment, therefore highlighting the importance of immediate action. There are no long-term effects of
anaphylaxis other than the possibility of recurrence of this disease.
Pause: 15 seconds
Now read question 7
Pause 15 seconds
Now answer question 7
Long-term management
For most patients, anaphylaxis is a disorder for which the risk of relapse is chronic but the event itself is unpredictable. The
mainstays of long-term management of anaphylaxis include:
Specialist assessment.
Identification and avoidance of triggers if possible. Common triggers of anaphylaxis include certain food, stinging
insects and medication.
It is also necessary to avoid common cofactors including exercise, alcohol consumption and taking NSAIDS
Training patients to recognise early warning symptoms and to carry self-injectable adrenaline (EpiPen) (after being
trained in its use).
Provision of a written anaphylaxis action plan.
Encouragement of at-risk patients to wear a Medical Alert bracelet and entry of an allergy alert into hospital or health
care network clinical information systems.
Pause: 15 seconds
Now read question 8
Pause 15 seconds
Now answer question 8
Anaphylaxis Prevention
Anaphylaxis to insect stings can be prevented by administering venom immunotherapy which reduces the risk of anaphylaxis
from repeated stings and is associated with an improved quality of life compared with carrying an EpiPen alone. Attempts to
modify the severity of food allergy using similar techniques have not succeeded so far however there is promise that further
research will lead to the development of vaccines which would enable sufferers to build up a tolerance to allergy causing foods.
Prevention involves avoidance of known allergens. Any person experiencing an allergic reaction should be monitored, although
monitoring may be done at home in mild cases.
Occasionally, people who have a history of drug allergies may safely be given the required medication after pre-treatment with
corticosteroids and antihistamines