A patient with severe environmental allergies is scheduled for an immunotherapy injection. What should be included in teaching the patient about the injection?
A) The injection will cure the response to the allergen.
B) The patient will remain in the clinic to be monitored for 30 minutes following the injection.
C) Therapeutic failure occurs if the symptoms to the allergen do not decrease after 3 months.
D) The injection is administered year round.
Ans: B
Feedback: Although severe systemic reactions are rare, the risk of systemic and potentially fatal anaphylaxis exists. It tends to occur most frequently at the induction or "up-dosing" phase. Therefore, the patient must be monitored after administration of immunotherapy. Because of the risk of anaphylaxis, injections should not be administered by a layperson or by the patient. The patient must remain in the office or clinic for at least 30 minutes after the injection and is observed for possible systemic symptoms. Therapeutic failure is evident when a patient does not experience a decrease in symptoms within 12 to 24 months. The injection will not cure the response to the allergen.
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