Antisym bodyguards in children

Article by Dr. Le Van Binh Department of Active Resuscitation – Share99 Times City International Health Hub

Antisymic in children is extremely dangerous, needs to be emergency in a timely manner to prevent complications that can be life-threatening. Anaphylactic shock in children is the heaviest level of anaphyla rephylalaosis due to sudden dilating of the entire vascular system and bronchospasm that can be fatal within a few minutes.

1. What is antisym bodyguards in children?

Antisymic in children is an allergicreaction , which can appear immediately from a few seconds, minutes to several hours after the child's body is exposed to allergies capable of causing allergies, the child may present mildly to severely or die quickly.

Anaphylactic shock in children is the heaviest level of anaphyla rephylalaosis due to sudden dilating of the entire vascular system and bronchospasm that can be fatal within a few minutes.

fatal anaphylactic shock for children

Anaphylactic shock can be fatal quickly

2. Diagnosis of antisym bodyguards in children

2.1. Suggestive symptoms

Parents should be vigilant when children show the following signs of anaphylactic shock:

  • You're a man, fast anesthor.
  • Shortness of breath, chest pain, hissing
  • Abdominal pain or vomiting
  • Hypotension or fainting
  • Consciousness disorders

2.2. Clinical diseases

  • Clinical condition 1: Symptoms appear in a few seconds to several hours in the skin, mucous membranes(anal edema,itching …) and have at least 1 of the following 2 symptoms:
  • Respiratory-related symptoms
  • Hypotension (HA) or the consequences of HA drops (disorders of consciousness, urination, urinary inaubity…).
  • Clinical Diseases 2: At least 2 of the 4 symptoms of a child's antisymymptotics appear in a few seconds to several hours after exposure to suspected factors including:
  • Manifestations in mucous membranes, skin: Anesthose, itching, arterial eyebrows
  • Respiratory symptoms such as: Hissing, shortness of breath, squeaking
  • Hypotension or the consequences of hypotension (disorders of consciousness, urination, urinary inaubity …).
  • Digestive symptoms (vomiting, abdominal pain…).
  • Clinical Diseases 3: Children with hypotension, this sign may appear in a few seconds to several hours after the child is exposed to the suspect factor: Children: at least 30% reduction in sy sy blood pressure (max. HA) or sy blood pressure drop compared to age(sysysy blood pressure< 70mmHg).

Children with urticaria

Children with urticaria anesthose are also one of the symptoms of anti-hygiene

2.3. Differentive diagnosis:

  • Cases of shock: Volume loss shock, cardiac shock, septic shock
  • Respiratory causes: Asthma attacks, difficulty breathing the vagus (due to foreign objects, inflammation).
  • Skin diseases such as anesthose, urticaria
  • End endo noising diseases such as carcinoid syndrome,thyroid storm, hypothyroidism …
  • The poisoning: opiat, histamine.

2.4. Diagnose the degree of:

Antisym bodyguards in a child are classified into 4 levels as follows:

  • Mild (degree I): Only symptoms appear on the skin, organization under the skin and mucous membranes such as itching, anesth edema, arterial eyebrows.
  • Severe (level II): The body appears from 2 manifestations in many bodies on the body.
  • You're a polymath, an anesthority appears fast.
  • Difficulty breathing shallow fast, chest pain, hoarseness, runny nose
  • Abdominal pain, vomiting, diarrhea…
  • Tachycardia or arrhythmia, blood pressure has not dropped or increased
  • Critical (level III): At this level, antisylam in a child manifests it in many bodies with a heavier degree, namely:
  • Manifestations in the airways: Edema of the remlys, with a squeak of the inge
  • Airways: Wheezing, rapid breathing, cyanosis or arrhythmias
  • Consciousness disorders: Convulsions, wrestling, coma, circular muscle disorders
  • Revascular: Small rapid pulse, shock,hypotension
  • Discontinuation of re-existing conditions(4th degree) : The child shows manifestations of discontinuation of respiration, respiratory arrest.

how to measure your child's blood pressure

Child's blood pressure drops rapidly with critical antimicrtory

3. Instructions for handling an emergency of counter-defense in a child

3.1. General principles

  • All cases of antisym bodyguards in the child need to be detected early and handled urgently, in a timely manner on the spot, the child should be monitored continuously within 24 hours.
  • As soon as the child shows an antisym bodyguard, the medical staff must initially handle the initial counter-defensive emergency.
  • Adrenalin is an essential drug and plays a leading role in saving the lives of people with anaphylalactic diseases, Adrenalin must be injected intramuscularly as soon as the diagnosis of patients with anaphylactic shock is level II or higher.

3.2. Mild antisym bodyguard handling (level I):

Allergies but can turn severe or critical:

  • Discontinuation of contact with the drug or allergens (if any)
  • Use diphenhydramin or methylprednisolon depending on the patient's condition.
  • Continue to monitor the person with antisym bodyguards for at least 24 hours for timely handling.

3.3. Critical and critical countermed emergency treatment regimen (degrees II, III)

In fact, anti-hygiene level II can switch to level III, level IV quickly, so it is necessary to urgently and simultaneously handle according to the disease development:

  • Discontinue contact with medications or heterogenic factors that cause antisymic (if any).
  • Injections or infusions of adrenalin (according to section 4 below).
  • Place the patient in place, low head position, if vomiting, then tilt left
  • Oxygen breathing: children 2-41/min through an open mask.
  • Assessment of the condition of the existing, respiratory, conscious and manifestations in the mucous membranes, skin of the person.
  • Squeezing the ball and Squeezing the heart outside the chest (if the person stops breathing, cruiser).
  • Open the emergency ine management or in-administration (if the person has difficulty breathing the re managed system).
  • Place the intravenous catheter and a second intravenous line or establish an intravenous adrenalin line with a regular communication cord but a large needle (size 14 or 16G) for rapid infusion.
  • Report to your superiors and consult with an emergency specialist, resuscitation and/or allergy specialist (if applicable).

In-administration anesthesia for children

In-administration tubeing ensures the child's airways

3.4. Regimen of adrenalin use and infusion

Objectives: Raise and maintain maximum HA stability of children ≥ 70mmHg and no longer have respiratory signs such as hissing, shortness of breath; signs of digestion.

Intramuscular adrenalin: 1mg = 1ml = 1 amp tube:

  • For infants or children < 10kg: 0,2ml (tương đương 1/5 ống).
  • For children about 10 kg: 0.25ml (equivalent to 1/4 tube).
  • For children about 20 kg: 0.3ml (equivalent to 1/3 tube).
  • For children with > 30kg: 0.5ml (equivalent to 1/2 tube).
  • Monitor blood pressure every 3-5 minutes.
  • Repeat adrenalin injections are given every 3-5 minutes until blood pressure and pulse stabilize.
  • If the pulse is not caught and blood pressure is not measured, respiratory and gastrointestinal signs worsen after 2-3 intramuscular injections such as clause 4.1 item 4 or risk of stopping the revascularization of adrenalin continuous intravenously once the infusion has been established (adrenalin phase with sodiumclorid solution 0.9%). Starting with a dose of 0.1 μg/kg/min, every 3-5 minutes adjust the dose of adrenalin depending on the patient's response. At the same time as continuous intravenous adrenalin infusion, rapid infusion of sodiumclorid solution of 0.9% 10-20ml/kg for 10-20 minutes can be repeated if necessary.
  • When adrenalin intravenously is given at a stable dose of blood pressure, monitoring of the patient's pulse and blood pressure can be monitored every 1 hour to 24 hours.

When to repeat the vaccine - hepatitis B vaccine?

Inject adrenalin to lift and maintain the maximum HA stability of the child

3.5. Next disposal

  • Support for respiration: Depending on the degree of respiratory and bility failure in patients, one or more of the following measures can be used:
  • Oxygen breathing through the mask: 2-4 liters/min in children
  • Oxygenated AMBU Ball Squeeze
  • Inemanular applied oxygenated inhalation if the person is breathing hissing increases and does not respond to adrenalin
  • If there is an edema of the pharynx that cannot be in the insymed administration, proceed to open the ineche management
  • Slow intravenous infusion: salbutamol 0.1 μg/kg/min or terbutalin 0.1 μg/kg/min or aminophyllin 1mg/kg/hour (best via electric injection pump or infusion machine)
  • Aminophyllin can be replaced with 2.5mg aerosol salbutamol through a mask or salbutamol throat spray 100μg twice daily, 4-6 times a day.
  • In case of failure to raise the patient's blood pressure according to the target after having received enough infusion and adrenalin, additional colloidal solution can be given.
  • Other drugs:
  • Methylprednisolon 1-2mg/kg/time (maximum 50mg in children) intravenously
  • H1 antihistamines such as intramuscular or intravenous diphenhydramine: children 10-25mg.
  • H2 antihistamines such as ranitidin: children 1mg/kg mixed in 20ml Dextrose 5% intravenously for 5 minutes.
  • Glucagon: In cases of slow rhythm, hypotension does not respond to adrenalin. Dosage: children 20-30μg/kg, maximum 1mg, then maintain intravenous infusion 5-15μg/min depending on clinical response.
  • Other vascular medications such as dobutamin, dopamine, intravenous noradrenalin may be combined when patients with severe shock have received enough infusions and adrenalin without blood pressure.

3.6. track

  • In the stage of emergency: Vascular monitoring, SpO2, blood pressure, breathing rate and senses every 3-5 minutes until stabilized.
  • During the stable period: Monitor the patient's pulse, blood pressure, SpO2, breathing and sense every 1-2 hours for at least the next 24 hours.
  • Patients should be monitored at the medical facility for at least 24 hours after blood pressure has stabilized and phase 2 antisymic protection is recommended.
  • In case after emergency stops active cardiac cardiac arrest, no results, emergency stops.

VIEW MORE

  • How dangerous is anaphylalactic shock?
  • Does anaphylactic shock during water infusion cause complications of dizziness and suffocation?
  • Recognize signs of anaphylalactic shock

SEE MORE:

  • How dangerous is anaphylalactic shock?
  • Recognize signs of anaphylalactic shock
  • Possible accidents with infusions

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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