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I'm itchy


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You are called to a 59 y/o male with a h/o htn who "started to feel itchy," after he ate some Chinese food. He has a known allergy to peanuts and thinks he may have tasted one in the food he ate. He compalins of a mild scratching in his throat and a little sob. He also c/o full body pruritis.

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Medical history and medication list?

Oxygen, IV, Benadryl, ECG, with Epi warming up

Might also consider a Combi-vent SVN, and steroid of choice

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PMH as stated, only htn. Known hx of allergy to peanuts. Pt takes atenolol. Those dogs behind the store are for security and have nothing to do with the food. Ignore that furball in your wonton soup.

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I certainly hope whit72 is reading this

Angioedema? Stridor?

If so, epi 0.3 mg IM and get the glucagon out

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I certainly hope whit72 is reading this

Angioedema? Stridor?

If so, epi 0.3 mg IM and get the glucagon out

Some swelling of the uvula. No noticeable stridor. Do you want to give the epi? What's the deal with the glucagon?

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I would hold off on the epi for now, but definitely have it ready.

Due to the patient taking a beta blocker, there is a possibility the epi would have a blunted effect, right? The glucagon might help this situation.

Reassess, lung sounds and keep a close eye on the oropharynx for signs of edema.

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