A patient is experiencing acute respiratory distress after eating an item of a known food allergy

Question

What interventions will the nurse implement when providing emergency care to this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Administer epinephrine 1:1000 intramuscularly.
2. Apply oxygen via face mask as prescribed.
3. Provide diphenhydramine 25 mg intravenous.
4. Administer vasopressin.
5. Prepare to administer antithrombolytic agents as prescribed.

Answer 1

1,2,3
Rationale 1: Epinephrine produces bronchodilation, improving the respiratory status. The route of administration is initially intramuscular.
Rationale 2: Supplemental oxygen is used in the treatment of anaphylactic shock.
Rationale 3: Hydrogen ion blockers such as diphenhydramine may be administered to block the histamine effects.
Rationale 4: Vasopressin is not used in the treatment of anaphylactic shock.
Rationale 5: Antithrombolytic agents are not used in the treatment of anaphylactic shock.