Management of a Complicated Anaphylaxis Case

Immediate management for anaphylaxis has been started. Despite repeated doses of IM adrenaline there is a poor clinical response.

a) What would be the probable cause of lack of response to adrenaline in this patient?

b) What medication would you give next?

(0.5 mark each, 1 mark total)

What biochemical test can be performed to confirm anaphylaxis and at what point in the patients care should it be drawn?

(0.5 mark each, 1 mark total)

ALS recommends that this patient is admitted for a prolonged period of observation.

Name two other special groups of patients that require observation for 24 hrs after an anaphylactic reaction?

(0.5 mark each, 1 mark total)