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5 Nursing Diagnosis for Anaphylactic Shock

 Anaphylactic Shock

Definition

Anaphylactic is a collection of symptoms that result from an acute reaction to a foreign substance to a person who previously had the sensitization (immediate / hypersensitivity reactions indirect immunity).

Etiology

  • Because drugs indirect histamine reaction that usually follows the injection of the drug weight, serum, the x-ray contrast media.
  • Certain foods, insect bites.
  • The reaction can sometimes idiopathic / immunologic abnormalities manifestations.
Symptoms
  • Cardiovascular: tachycardia, hypotension, shock, arrhythmia, palpitations.
  • Respiratory tract: rhinitis, sneezing, itching of the nose, bronchospasm, hoarseness, shortness, apnea.
  • Gastrointestinal: nausea, vomiting, abdominal pain.
  • Skin: pruritus, urticaria, angioedema, skin pale and cold.



Nursing Diagnosis for Anaphylactic Shock

1. Impaired gas exchange related to ventilation perfusion imbalance.
characterized by: shortness of breath, tachycardia, flushing, hypotension, shock, and bronchospasm.

2. Altered tissue perfusion related to decreased blood flow secondary to vascular disorders due to anaphylactic reactions.
characterized by: palpitations, skin pale, cold acral, hypotension, angioedema, arrhythmias, ECG features horizontal and inverted T waves.

3. Ineffective breathing pattern related to the swelling of the nasal mucosa wall
characterized by: shortness of breath, breath with the lips, there rhinitis.

4. Acute pain related to gastric irritation
characterized by: abdominal pain, looked grimacing while holding stomach.

5. Impaired skin integrity related to changes in circulation
characterized by: swelling and itching of the skin and the nose, there are hives, urticaria, and runny nose. 

 Source : https://purba-java-indo.blogspot.com/2014/11/5-nursing-diagnosis-for-anaphylactic.html

 

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