Allergic conditions

Protocols

Investigation:

1)Serum IgE
2) skin prick test

Rx:

Removal of underlying cause .eg-removal of bee sting
Ensure airway patency
Positon of pt lying flat with feet raised
02 inhallation 4L/min
Nebulization é sultolin stat & sos

1. Inj. cotson (100mg)(Hydrocortisone)

1vial I/V stat & sos

2.Inj. Avil(45.4/2ml)(Pheniramine)

1 amp l/M stat & sos

3. Tab. Fenadin(Fexofenadine) (120mg)/ Rupa (10mg)(rupatadine)

0+0+1….7 days

If pain:

1. Tab. Torax (10mg)(Ketorolac)

1+0+1.....3 days(ভরাপেটে)

2. Tab. Maxpro (20mg)(Esomeprazole)

1+0+1.( খাবার ৩০ মি আগে).....7 days

if itching:

Togent ointment

চুলকানির জায়গায় দিনে ৩ বার....৭ দিন

If Restlessness:

Inj. sedil(Diazepam)(10mg/2ml)

1 amp I/M stat & sos

if patient condition is not improved then referred.

Prevention:

Cover exposed skin.
Wear shoes when outdoors.
Apply insect repellent.
Avoid using products with strong perfumes.
Avoid flowering plants, outdoor areas where food is served, rubbish and compost areas.
Remove and destroy insect nests.
Avoid flea infestations.

Bee bite/ Anaphylaxis: