The principles of management are (1):
The first line therapy in anaphylaxis, after removal of the allergen, is as any emergency; basic life support, centred on airway, breathing and circulation. In addition to this intravenous fluid support is needed, and 100% oxygen.
Further measures are as follows:
If the response is poor then a cycle should continue (see linked algorithm outlines), of repeating adrenaline and consideration of volume expansion. An adrenaline infusion may be considered.
If the patient has hereditary angioneurotic oedema, an autosomal dominant trait, then this is relatively unresponsive to adrenaline (see menu option for management).
After emergency treatment for anaphylaxis (2):
Reference:
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