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What is the priority action if a patient shows signs of anaphylaxis?
Asked on Apr 13, 2026
Answer
Anaphylaxis is a severe, life-threatening allergic reaction that requires immediate intervention. The priority action is to ensure the patient's airway is open and administer epinephrine as quickly as possible.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) to determine the severity of the reaction.
- Step 2 – Administer intramuscular epinephrine immediately, as per protocol, to counteract the reaction.
- Step 3 – Monitor the patient's vital signs continuously, prepare for potential escalation of care, and document all interventions and patient responses.
Additional Comment:
- Always prioritize airway management and epinephrine administration in suspected anaphylaxis.
- Call for emergency assistance and prepare for advanced life support if needed.
- Observe for biphasic reactions, which can occur hours after the initial anaphylactic event.
- Document the time and dose of epinephrine administration accurately.
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