Question 69 · LDEK · Shock and anaphylaxis
In a patient undergoing dental procedures stridor, feeling of an obstruction in the airways, anxiety, skin rash, eyelid oedema, and tachycardia occurred several minutes after the application of a local anesthetic. Indicate the proper management in this case:
1) calm down the patient and continue the dental procedures;
2) call for help and immediately give 0.5 mg of epinephrine i.m.;
3) give salbutamol in nebulization and start oxygen therapy;
4) place a peripheral venous catheter and then give 1 mg of epinephrine in bolus;
5) inject one ampule of antazoline i.m.
The correct answer is:
2) call for help and immediately give 0.5 mg of epinephrine i.m.;
3) give salbutamol in nebulization and start oxygen therapy;
4) place a peripheral venous catheter and then give 1 mg of epinephrine in bolus;
5) inject one ampule of antazoline i.m.
The correct answer is:
- A. 1,5.
- B. 2,3.
- C. 3,5.
- D. only 5.
- E. only 4.
Hint
Recognise the syndrome first, then choose the drug, dose and route appropriate for a patient who still has a pulse.
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