A client with a history of latex allergies develops audible wheezing, pruritus, urticaria, and signs of angioedema. Which of the following would the nurse perform initially?

Question

1. Administer epinephrine 1:100,000 IV per the health care provider's orders
2. Collect a detailed history from the client regarding the history of latex allergies
3. Teach the client regarding using a kit that contains treatment for allergic reactions
4. Administer diphenhydramine (Benadryl) by mouth every four hours per the health care provider's orders

Answer 1

1. Administer epinephrine 1:100,000 IV per the health care provider's orders
Rationale:
For mild reactions with wheezing, pruritus, urticaria, and angioedema, a subcutaneous injection of 0.3–0.5 mL of 1:1,000 epinephrine is generally sufficient. The nurse should give the epinephrine first due to the symptoms. Intravenous epinephrine using a 1:100,000 concentrations may be used in the client with a more severe anaphylactic reaction. The nurse does not have time to collect a detailed history because of the severity of the client's signs and symptoms. Clients who have experienced an anaphylactic reaction to insect venom or another potentially unavoidable allergen should carry a bee sting kit.