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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)