ERDoc Posted June 21, 2006 Author Posted June 21, 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. Damn, guess I made this one too easy. Yes, any beta blocker can blunt the effect of epi and glucagon would be the appropriate treatment. Guess I'll have to make it a little harder next time.
Punisher Posted June 21, 2006 Posted June 21, 2006 You need to correct the typo doc..... I think you mean glucagon in that last post, not glucose.
AZCEP Posted June 21, 2006 Posted June 21, 2006 You need to correct the typo doc..... I think you mean glucagon in that last post, not glucose. Christ Punisher! Why did you have to bring that whole mess up?
Punisher Posted June 21, 2006 Posted June 21, 2006 Christ Punisher! Why did you have to bring that whole mess up? Because that's my job on this site.....to bring up messes like that!
ERDoc Posted June 21, 2006 Author Posted June 21, 2006 You need to correct the typo doc..... I think you mean glucagon in that last post, not glucose. Wow, don't want to make that mistake, especially around you people. Conisder it corrected.
Ace844 Posted June 21, 2006 Posted June 21, 2006 Wow, don't want to make that mistake, especially around you people. Conisder it corrected. "ERDoc," The reason in addition to the 'glucagon fiasco, err....deliemma...ahhhmmmm..discussion,' is that "Whit," also 'authored' a thread on anaphylaxsis. which makes this interesting. In addition to the above treatments mentioned I would also add and H2 blocker to the RX regieme. Out here, ACE844
ERDoc Posted June 22, 2006 Author Posted June 22, 2006 "ERDoc," The reason in addition to the 'glucagon fiasco, err....deliemma...ahhhmmmm..discussion,' is that "Whit," also 'authored' a thread on anaphylaxsis. which makes this interesting. In addition to the above treatments mentioned I would also add and H2 blocker to the RX regieme. Out here, ACE844 Keep in mind that cimetidine is the only one that has been shown to be beneficial (the others just haven't been studied).
Ace844 Posted June 22, 2006 Posted June 22, 2006 Keep in mind that cimetidine is the only one that has been shown to be beneficial (the others just haven't been studied). Duely noted, Thank you... ACE844
medic53226 Posted June 23, 2006 Posted June 23, 2006 I would give as follows for a pt with the as describe conditions o2 by nrb 15 lpm 25 mg of Benadrly IV 0.15 mg of Epi per protocol 125 mg of Solumedrol and to the hospital so that if the H2 is needed, and futher assesment by the ER staff
AZCEP Posted June 24, 2006 Posted June 24, 2006 That is an unusual dose for Epi in anaphylaxis. Considering this patient is on a beta blocker, you need to consider that standard issue treatment might not be effective. Thus the consideration of using glucagon.
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