ERDoc Posted June 18, 2006 Posted June 18, 2006 You are called to a 59 y/o male with a h/o htn who "started to feel itchy," after he ate some Chinese food. He has a known allergy to peanuts and thinks he may have tasted one in the food he ate. He compalins of a mild scratching in his throat and a little sob. He also c/o full body pruritis.
AZCEP Posted June 18, 2006 Posted June 18, 2006 Medical history and medication list? Oxygen, IV, Benadryl, ECG, with Epi warming up Might also consider a Combi-vent SVN, and steroid of choice
madmedic8522 Posted June 18, 2006 Posted June 18, 2006 fleas, from the food stored out back of the restaurant, out in the kennels............just kidding!!!! madmedic
ERDoc Posted June 18, 2006 Author Posted June 18, 2006 Meds as ordered. EKG shows stach at 118. Pt states he is not feeling better.
ERDoc Posted June 18, 2006 Author Posted June 18, 2006 PMH as stated, only htn. Known hx of allergy to peanuts. Pt takes atenolol. Those dogs behind the store are for security and have nothing to do with the food. Ignore that furball in your wonton soup.
AZCEP Posted June 18, 2006 Posted June 18, 2006 I certainly hope whit72 is reading this Angioedema? Stridor? If so, epi 0.3 mg IM and get the glucagon out
TTLWHKR Posted June 18, 2006 Posted June 18, 2006 Allergy to dogs or cats? Because he probably just ate one!
madmedic8522 Posted June 18, 2006 Posted June 18, 2006 sorry Doc this will be my last one........just can't resist on father's day! the furball from the wonton soup is stuck in his throat........hairball! did the restaurant get a deal on peanut oil??? sorry for messing up the thread I'll stay out of it now. madmedic
ERDoc Posted June 18, 2006 Author Posted June 18, 2006 I certainly hope whit72 is reading this Angioedema? Stridor? If so, epi 0.3 mg IM and get the glucagon out Some swelling of the uvula. No noticeable stridor. Do you want to give the epi? What's the deal with the glucagon?
AZCEP Posted June 18, 2006 Posted June 18, 2006 I would hold off on the epi for now, but definitely have it ready. Due to the patient taking a beta blocker, there is a possibility the epi would have a blunted effect, right? The glucagon might help this situation. Reassess, lung sounds and keep a close eye on the oropharynx for signs of edema.
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