Summery | DOI: https://doi.org/10.31579/2690-8808/218
*Corresponding Author: Hilary Denis Solomons, P.O. Box 64203, Highlands North, 203, South Africa.
Citation: Hilary Denis Solomons, (2024), Asthma, Anaphylaxis and Adrenaline, Journal of Clinical Case Reports and Studies, 5(9); DOI:10.31579/2690-8808/218
Copyright: ©, 2024, Hilary Denis Solomons. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 09 October 2024 | Accepted: 16 October 2024 | Published: 22 October 2024
Keywords: asthma; anaphylaxis; adrenaline
The article describes the use of adrenaline in the treatment of anaphylaxis and asthma.
The article gives an in depth view of how aliquots of adrenaline can be used in the treatment of anaphylaxis and asthma.
The bronchospasm in asthma and anaphylaxis is similar.
The adrenaline or epinephrine is a sympathomimetic agent and reverses the bronchospasm.
The article describes the use of adrenaline in the treatment of anaphylaxis and asthma.
The article gives an in depth view of how aliquots of adrenaline can be used in the treatment of anaphylaxis and asthma.
The bronchospasm in asthma and anaphylaxis is similar.
The adrenaline or epinephrine is a sympathomimetic agent and reverses the bronchospasm.
Thus, the treatment of asthma and anaphylaxis is aliquots of adrelin in saline.
Adrenaline (epinephrine) intramuscularly (IM) in the anterolateral aspect of the middle third of the thigh (safe, easy effective);
Airways; look for and relieve airway obstruction; call for help early if there are signs of obstruction.
Remove any traces of allergen remaining (e.g., nut fragments, caught in teeth, with a mouthwash; beestings without compressing any venom sacs).
Breathing; look for and treat bronchospasm and signs of respiratory distress.
Circulation; colour, pulse or BP.
Disability; assess whether responding or unconscious.
Exposure; assess skin with adequate exposure, but avoid excess heat loss.
Always give oxygen and lay the patient flat.
Adult IM dose 0.5mgs IM.
Child IM dose 1;1000 adrenaline
12 years 0,5 mgs IM
6-12 years 0,3 ml
< 6>
IM adrenaline should be repeated after 5 minutes
Either IM or intravascularly!
Intravenous adrenalin (epinephrine) should only be administered by those with the necessary training and experience; such as anesthetists, intensivist and emergency department physicians. it can be administered as a bolus dose or an infusion.
Patients requiring repeat bolus dosing should commence an infusion of adrenaline (epinephrine).
Half doses of adrenaline (epinephrine) may be safer for patients on amitryptiline, imipramine, monoamine-oxidase inhibitors (MAOI) or beta-blocker!
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