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TreatmentSeveral challenges have encountered when diagnosing Anaphylaxis and it is often unrecognized and undertreated (Jacobsen & Gratton, 2011). Controversy has surrounded the definition, classification, nomenclature, and treatment of anaphylaxis (Reber et al., 2017). Primary symptoms such as anxiety, dizziness, difficulty breathing, stridor, wheezing, itching due to hives, swollen lip and tongue, and abdominal cramping are often present. However, atypical symptoms are sometimes seen in patients and need to be recognized (Jacobsen & Gratton, 2011).Immediate treatment needs to transpire with acute onset of illness involving the skin, mucosal tissue, or both and has accompanying respiratory compromise or decreased blood pressure (Campbell & Kelso, 2018). Another diagnostic criterion with two or more symptoms involving hives, itching, flushing, swollen lips, tongue, or uvula, respiratory problems, hypotension, or abdominal cramping and vomiting after rapid onset of exposure to an allergen requires prompt treatment (Campbell & Kelso, 2018). Signs and symptoms of skin issues do not manifest in 20 percent of the anaphylaxis events (Campbell & Kelso, 2018). A third criteria of diagnosis involves a known allergen with the occurrence of decreased blood pressures (Campbell & Kelso, 2018).