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Discussion

Not today!!

so despite doing this for 15 million years, i've never given Epi -until today.

Kid came in all itchy throated then got progressively more and more moonfaced all the while arguing with me that he DIDN"T need or want Epi until i finally got through to him that he can die if I don't do this. He wasn't happy about the needle but said that the itching in his throat stopped and he was starting to look less and less like Hitch.

I see in his future a trip to the allergist. Now, if only I could see the powerball numbers so clearly.

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    • Featured Replies

    Awaiting Old Dude here but WOOHOO! Superior nursing assessment and diagnostic skills there, Flare.

    Also, Epi makes quite a loud "THWOCK" when you administer it in pen form. The sound is unforgettable.

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    Amen. Way. To. Go!:yes:

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    Always transfer person after administering epi. I think it's around 1/5 of the time a second dose is required or further intervention.

    edit: from the AAAAI:

    "The child's physician should provide guidance for when and how much epinephrine to use if areaction occurs. The effects of epinephrine may stop after 15 to 20 minutes. A second dose ofepinephrine may be needed if there is inadequate response to the first dose, or symptomsrelapse within 15 minutes of the first dose. Multiple studies indicate 20% of acute anaphylaxisrequires more than one dose of epinephrine for adequate treatment

    All children who require epinephrine should be transported by EMS to the emergency room to monitor for late phase anaphylaxis which can occur in up to 20% of acute anaphylaxis and can be more difficult to treat."

    https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Libraries/What-you-Should-Know-about-Anaphylaxis.pdf

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    • Author
    Always transfer person after administering epi. I think it's around 1/5 of the time a second dose is required or further intervention.

    edit: from the AAAAI:

    "The child's physician should provide guidance for when and how much epinephrine to use if areaction occurs. The effects of epinephrine may stop after 15 to 20 minutes. A second dose ofepinephrine may be needed if there is inadequate response to the first dose, or symptomsrelapse within 15 minutes of the first dose. Multiple studies indicate 20% of acute anaphylaxisrequires more than one dose of epinephrine for adequate treatment

    All children who require epinephrine should be transported by EMS to the emergency room to monitor for late phase anaphylaxis which can occur in up to 20% of acute anaphylaxis and can be more difficult to treat."

    https://www.aaaai.org/Aaaai/media/MediaLibrary/PDF%20Documents/Libraries/What-you-Should-Know-about-Anaphylaxis.pdf

    Absolutely! The kid went straight to the er - but that does not replace the need for the visit to the allergist after all the smoke clears.

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    • Expert

    BAM!! Another kid snatched from the jaws of death; school nurses, that's what we do!! Way to go Flare...rockin assessment and intervention. What heartache and grief you saved this child and family! BAM!!

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    Thank God you were there for this student! Who knows (and who wants to know!) what could've happened if you weren't there to assess/treat!

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    props to convincing him to take the shot!!

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    Great job!!! That was lucky to have you there for him.

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