anaphylaxis take 3

Today we discussed a case of a women who had an anaphylactic reaction post gold infusion.

Typically we think of the following drugs in association with anaphylaxis (although a lot of drugs can cause rare reactions)

- Antibiotics (75% of all fatal anaphylactic reactions are due to penicillin)

• Non-steroidal anti-inflammatory agents (including aspirin)

• Anesthetics

• Latex

• Iodine (contrast)

Our previous talks on anaphylaxis can be viewed HERE and HERE, review articles and doses can be found on those pages. 

On D/C a good plan would consider the following:

• Ensure that the patient understands she has a serious allergy, and Document it in the medical chart

• EpiPen Rx and instructions for use 
• MedicAlert bracelet 
• Written action plan if anaphylaxis recurs outside the hospital setting6 
• Notification of any outside providers 
• Consideration of referral to an allergist