Had to give Epi Today! - page 2

I want to share my experience hoping it can help someone else, and to review for myself what I learned today. Got a call a student was choking in the classroom, and when I said "choking?" the TA... Read More

  1. by   murseman24
    I think you did fine. They weren't decompensating so there was no need to rush. that is the hardest part, to calmly assess the situation while under stress, instead of just "react". That did not seem black and white as there were no overt S/S of respiratory distress, just the reflexive coughing and sneezing. Possibly something was stuck in their throat? Either the heimlech or EPI, and there didn't seem to be any contraindication to giving the EPI (a child is not going to have significant CAD).
  2. by   kidzcare
    Quote from murseman24
    "I wouldn't have given it unless they were vomiting?" What does vomiting have to do with an anaphylactic reaction? altered mental status (brain hypoxia), chest tightness, breathing pattern irregularities are 100% indicated for use of EPI. If you HADN'T given it and they arrived they would have said, "You should have given it earlier." What a load of crap! this is why you HAVE to do what is right because in a courtroom you have to defend your actions, and you did EXACTLY what was required. That doc and ambulance driver are a joke. No wonder everyone thinks the ED is full of idiots. You should have said, "well then I hope they send someone else next time I call 911."
    Vomiting is a symptom of anaphylaxis but certainly not the only indicator for epi
  3. by   LikeTheDeadSea
    Quote from murseman24
    You should have said, "well then I hope they send someone else next time I call 911."
    I'm going to put this in my back pocket next time they think that my stabilized kiddo has been like that since I called for EMS.
  4. by   ruby_jane
    Quote from kidzcare
    Vomiting is a symptom of anaphylaxis but certainly not the only indicator for epi
    And it's a definite kind of vomit...almost projectile, like the body has to get rid of whateveritwas that's making them sick.
  5. by   NutmeggeRN
    Quote from kidzcare
    Vomiting is a symptom of anaphylaxis but certainly not the only indicator for epi
    This! Ya done well!!!
  6. by   JenTheSchoolRN
    Quote from ruby_jane
    And it's a definite kind of vomit...almost projectile, like the body has to get rid of whateveritwas that's making them sick.
    Or kinda a projectile gagging when there is nothing to vomit. I've seen this as well with one of students that has a diagnosed severe allergy. It is definitely different than the usual vomit episodes I see.
  7. by   Farawyn
    Quote from Flare
    Great job! I agree - you didn't wait too long. Having a thorough assessment is important as part of this work up. Yes, the epi wouldn't technically hurt someone that was in distress for a different reason and got epi, but it wouldn't necessarily help them and may end up steering the course of treatment. I agree that the laymen staff propably should not be trained too far outside the general anaphylaxis treatment training. You don't want them to hammer everything that looks like a nail.
    THIS!!!

    Congratulations, Nurse.
  8. by   ruby_jane
    Quote from JenTheSchoolRN
    It is definitely different than the usual vomit episodes I see.
    I want to write a new instruction: Administer Epi when one or more of the symptoms is occurring:
    (list all the other ones)
    - vomiting that is worse than any usual vomit.

close