Question 2: penicillin allergy, how to treat it? Stop using penicillin drugs and switch to antiallergic drugs and hormonal drugs. You'd better go to the hospital. The doctor will take care of it.
Question 3: What should I do to relieve penicillin allergy? There is a way to relieve allergies. General drug allergy symptoms are mild, which can be relieved naturally after stopping the drug. If the symptoms are serious, I should actively take anti-allergic treatment and choose oral or intravenous infusion according to the severity of the disease. It is suggested that you can take anti-allergic drugs, calcium tablets and vitamin C are better. Dexamethasone can be used as appropriate for severe symptoms. However, the above treatment needs to be carried out by professional doctors, and patients should not handle it at home. Don't worry, it's only the slightest allergic symptom. It should be cured with some hormone drugs and some antiallergic drugs. In particular, it should be noted that other harmful exogenous factors, such as hand grasping, are prohibited during treatment, which is easy to be infected.
Question 4: Treatment of Penicillin Allergy After the allergic reaction occurs, we should first quickly judge the possible sensitizing drugs and quickly block patients from continuing to contact allergic drugs. Patients who have been clearly allergic to penicillin should not do penicillin skin test again. Should be treated in time. Attention should be paid to drug polyvalent allergy and cross allergy during treatment and after recovery. Rescue of anaphylactic shock cases: the patient lies flat and monitors vital signs (blood pressure, etc. ), keep the liquid channel, oxygen inhalation. Try to raise blood pressure first (give 0.5 ~ 1 mg epinephrine immediately, and then give it if necessary; If necessary, antihypertensive drugs can be given. ); Laryngeal edema, should first solve breathing difficulties or suffocation. According to the needs of the disease, appropriate corticosteroids, antihistamines and drugs to correct acidosis are given for treatment. Treatment of mild cases: such as skin itching, unilateral urticaria or vascular edema, mild eruptive drug eruption, etc. , oral antihistamines can be given, and small doses of corticosteroids can be given when necessary. Treatment of severe cases: such as exfoliative dermatitis, toxic epidermal necrolysis, severe erythema multiforme, etc. , visceral injury, the condition is complex and serious, and it needs active and comprehensive rescue. Attention should be paid to the function of internal organs, the balance of water and electrolyte, and support therapy should be taken to prevent infection. According to the needs of the disease, corticosteroids, immunoglobulin, immunosuppressants and other drugs can be given for treatment.
Question 5: How to deal with penicillin allergy, how to deal with it and how to rescue it.
1. Adrenaline application-Stop using penicillin immediately, and put the patient in a supine position with his feet slightly raised. Adrenaline 0.5 ~ 1 mg was injected subcutaneously or intramuscularly. According to the patient's condition and age, 0.3 ~ 1 mg was used repeatedly after 5 ~ 10 min, and diluted with 0.9% normal saline 10 times before intravenous injection. In 7 of 25 patients, adrenaline reached 4mg within 65438 0 ~ 2 hours.
2. Assault dose of glucocorticoid-the first intravenous injection of dexamethasone 20mg plus 50% glucose 40ml, followed by intravenous injection of dexamethasone 20mg plus 5% glucose; Or hydrocortisone succinate 100 ~ 600 mg/d, diluted with 50% glucose for several times, then injected intravenously, and then dripped intravenously.
3. Application of vasoactive drugs —— When the patient's blood pressure still does not rise after using adrenaline and hormones, alamin 20 ~ 100 mg and physiological saline 250 ~ 500 ml can be used for intravenous drip, and the dropping speed can be adjusted at any time according to the blood pressure to maintain the normal blood pressure level.
4. Cardiopulmonary Cerebral Resuscitation-Patients with cardiac arrest and breathing should be treated according to the procedures of Cardiopulmonary Cerebral Resuscitation.
5. Others-use antiallergic drugs as appropriate, keep the respiratory tract unblocked, and do tracheal intubation for artificial respiration if necessary.
Penicillin anaphylactic shock is a common type I allergic reaction in clinic. Adrenaline, as the first choice, can be used repeatedly and the dosage varies from person to person. Adrenaline is an agonist of α and β receptors, which can excite the heart, contract blood vessels, reduce capillary permeability and relieve bronchospasm. Therefore, it can quickly relieve the critical symptoms of anaphylactic shock, such as weak heartbeat, decreased blood pressure and dyspnea. [2]. At the same time, it can enhance the function of adrenaline, overcome the blocking of β receptor, prevent the decomposition of high concentration cyclic adenosine monophosphate, improve the stress ability of patients, and thus improve the success rate of rescue. The use of vasoactive drugs is essential when blood pressure does not rise in the above treatment. Always be alert to cardiac and respiratory arrest, take oxygen when necessary, and pay attention to comprehensive first aid measures such as unobstructed respiratory tract. Penicillin anaphylactic shock is characterized by rapid response, which generally does not damage tissues and cells during the reaction, so there is no sequelae after recovery. The key to rescue is early detection, timely rescue and treatment to reduce mortality.