A patient presents with anaphylaxis to the penicillin prescribed for an ear infection. The nurse plans immediate care for the patient based on which goals?

Question

1. Normalization of blood pressure
2. Reduction of blood volume
3. Identification of other allergies
4. Reduction of inflammatory response
5. Provision of basic life support

Answer 1

1,4,5
Rationale 1: Restoration of normal blood pressure is a goal of the management of all shock states.
Rationale 2: The goal is to restore normal blood volume.
Rationale 3: It will be necessary to identify presence of other allergies, but this is not the current priority.
Rationale 4: Since this is anaphylactic shock, it is important to prevent or reduce the inflammatory response.
Rationale 5: Provision of basic life support is critical in all types of shock.

Global Rationale: Restoration of normal blood pressure is a goal of the management of all shock states. Since this is anaphylactic shock, it is important to prevent or reduce the inflammatory response. Provision of basic life support is critical in all types of shock. The goal is to restore normal blood volume. It will be necessary to identify presence of other allergies, but this is not the current priority.