For the dyspneic patient in extremis, suspect Anaphylaxis if EITHER:
- generalized itching, hives, flushing; OR swollen lips, tongue, uvula.
- history of exposure to a likely allergen; PLUS either persistent vomiting/abdominal cramps, or hypotension.
- ? Stridor (upper airway obstruction)
- ? Wheezes, and/or Prolonged Expiratory Phase (bronchospasm)
-
Epinephrine 1:1,000 (1 ml. ampule), 0.5 ml, IMRepeat in 5-10 min.
- OR EpiPen [same thing]
- IV Normal Saline, wide open if in shock
See posting Acute Dyspnea – 1.