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| ==Management==
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| Shown below is an algorithm summarizing the approach to <nowiki>[[disease name]]</nowiki>.
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| {{familytree/start |summary=PE diagnosis Algorithm.}}
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| {{familytree | | | | | | | | A01 |A01=<div style="float: left; text-align: left; height: 45 em; width: 45em ">'''Characterize the symptoms & signs:''' <br> Skin, subcutaneous tissue and mucosa: <br> ❑ Flushing, itching, urticaria, angioedema, rash, piloerection <br> ❑ Periorbital itching, erythema and edema; conjunctival erythema, tearing <br>
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| Respiratory: <br> ❑ Nasal itching, congestion, rhinorrhea, sneezing <br> ❑ Throat itching and tightness, dysphonia, hoarseness, stridor, dry staccato cough <br> ❑ Tachypnea, dyspnea,chest tightness, wheezing/bronchospasm <br> ❑ Cyanosis <br> ❑ Respiratory arrest <br>
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| Gastrointenstinal: <br> ❑ Pain, nausea, vomiting, diarrhea <br>
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| Cardiovascular: <br> ❑ Chest pain, tachycardia, palpitations <br> ❑ Hypotension, feeling faint <br> ❑ shock <br> ❑ Cardiac arrest <br>
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| Central nervous system: <br> ❑ Anxiety, irritability <br> ❑ Throbbing headache <br> ❑ Altered vision and mental status </div>}}
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| {{familytree | | | | | | | | |!| | | | | | | | }}
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| {{familytree | | | | | | | | B01 | | | | | | | |B01=<div style="float: left; text-align: left ">'''Consider alternative diagnosis:''' <br> ❑ Acute asthma <br> ❑ Anxiety/Panic attack <br> ❑ Syncope </div>}}
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| {{familytree | | | | | | | | |!| | | | | | }}
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| {{familytree | | | | | | | | C01 | | | | | |C01=Remove patient from exposure/trigger }}
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| {{familytree | | | | | | | | |!| | | | | | }}
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| {{familytree | | | | | | | | D01 | | | | | |D01=<div style="float: left; text-align: left">Do all 3 simultaneously <br> ❑ Call for help <br> ❑'''Inject aqueous epinephrine (adrenaline) IM in the mid-anterolateral aspect of the thigh, 0.01 mg/kg of a 1:1,000 (1 mg/mL) solution''' <br>Maximum dose 0.5 mg (adult) or 0.3 mg (child) <br> Record the time of the dose and repeat it in 5-10 minutes, if needed or <br> ❑ In patients with hypotension/cardiorespiratory arrest and those not responding: Intravenous epinephrine <br> 1:100,000 solution of epinephrine (0.1 mg [1 ml of 1:1000] in 100 ml saline) intravenously by infusion pump at an initial rate of 30-100 ml/hr (5-15 mg/min) <br> Titrate based on clinical response or epinephrine side effects <br> ❑ Place patient on back/comfortable position; elevate legs</div> }}
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| {{familytree | | | | | | | | |!| | | | | | | }}
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| {{familytree | | | | E02 |-| E01 | | | | | | | |E01= Patient has one of the following? <br> ❑ Respiratory distress <br> ❑ Recieved repeated doses of epinephrine <br> ❑ Asthma/other respiratory disease <br> ❑ Co-existing cardiovascular disease |E02=Yes}}
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| {{familytree | | | | |!| | | | | | | | | | | | }}
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| {{familytree | | | | F01 | | F02 | | | | | | |F01=Give high flow supplemental oxygen (6-8 L/min) |F02=No }}
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| {{familytree | | | | |!| | | | | | | | | | | | }}
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| {{familytree | | | | |`|-|-| G01 | | | | | | | |G01= Establish IV access <br> 1-2 litres of 0.9% saline rapidly}}
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| {{familytree/end}}
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