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What is the priority intervention for a patient experiencing anaphylaxis? Pending Review
Asked on May 14, 2026
Answer
In anaphylaxis, the priority intervention is to ensure airway patency and administer epinephrine promptly, as it is a life-threatening allergic reaction that can lead to airway obstruction and cardiovascular collapse. Nurses must act quickly to prevent severe complications.
Example Nursing Steps:
- Step 1 – Assess the patient's airway, breathing, and circulation (ABCs) immediately.
- Step 2 – Administer epinephrine intramuscularly as the first-line treatment.
- Step 3 – Monitor vital signs, prepare for advanced airway management if needed, and document the intervention and patient's response.
Additional Comment:
- Ensure the patient is in a supine position unless contraindicated.
- Provide supplemental oxygen and initiate IV access for fluid resuscitation.
- Be prepared to use adjunctive treatments such as antihistamines and corticosteroids.
- Communicate with the healthcare team and escalate care if the patient does not respond to initial interventions.
- Document all actions taken and the patient's response in the medical record.
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