Hives swelling anaphylaxis Buff W Powell P Insect Bites and Stings and

Hives swelling anaphylaxis buff w powell p insect

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Hives, swelling, anaphylaxis Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Fire Ants Found in southern and western United States Live in underground colonies Presentation Intense itching, burning Tissue necrosis Anaphylactic reactions Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Prevention of Insect Stings Protective covering Avoid bright colored clothing Avoid scented lotions, perfumes, cologne Change contaminated clothing (food, drink spills) Destroy nests near home Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Approach to Treatment of Insect Stings Goals of self-treatment Relieve itching Relieve pain Allergic reactions require medical referral. Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691.
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10/21/2016 7 Establish appropriateness of Self-Care of Insect Stings Exclusion Soft Hard Hives, excessive swelling, dizziness, weakness, N&V, difficulty breathing Significant allergic response away from the sting Previous sting by honeybee, wasp, or hornet Previous severe reaction Personal or family history of significant allergic reaction <2 years of age Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Nonpharmacologic Therapy Remove stinger After removal an antiseptic should be applied Alcohol Hydrogen peroxide Apply an ice pack in 10 minute intervals. Helps slow absorption Reduces itching, swelling, and pain Avoid scratching the affected area. Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Pharmacologic Therapy Local anesthetics* Antihistamines* Counterirritants* Anti-inflammatory Agent* Skin Protectants* *Refer to insect bite section Buff W, Powell P. Insect Bites and Stings and Pediculosis. In: Krinsky DL, Handbook of nonprescription drugs . 17 th ed. Washington DC: American Pharmacist’s Association; 2012; 675-691. Epinephrine Trade name Active Ingredient MOA Directions Adverse Effects Notes EpiPen Auto- Injector Epinephrine 0.3mg α1, β1, β2 agonist Remove safety release. Grasp in fist and inject into middle of outer thigh at a 90 degree angle. Hold firmly for 10 seconds before removing. Palpitations Sweating Tremor Anxiety Restlessness Routinely check expiration date.
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