Anaphylactic shock secondary to latex allergy

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Reference no: EM133821267

Question

Ms. B is a 76-year-old woman who has been in the surgical critical care unit for the past 2 days following abdominal surgery for stage III ovarian cancer. Ms. B is in need of replacement of her thrombosed central line. She has a history of allergy to kiwi fruit and avocados, but no known allergy to latex. Clinical Assessment Approximately 10 minutes after the central line insertion, Ms. B complains of feeling flushed and loses consciousness. Diagnostic Procedures Ms. B is unconscious and unresponsive to verbal or physical stimuli. Audible wheezing can be heard at the bedside. Skin is visibly flushed and clammy to the touch. Vital signs include blood pressure (BP), 60/Doppler; heart rate (HR), 160 (atrial tachycardia); respiratory rate (RR), 30; and temperature (T), 99°F. Medical Diagnosis

Anaphylactic shock secondary to latex allergy Questions

1. What major outcomes (1-2) do you expect to achieve for this patient? Controlling blood pressure, reducing vomiting, maintaining a normal ST segment, and avoiding cardiac tissue damage

2. What problems or risks must be managed to achieve these outcomes (1-2)? Maintain tissue perfusion and oxygen delivery, early revascularization and reperfusion, limit myocardial oxygen consumption and workload, and enhance oxygen supply.

Reference no: EM133821267

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