Soon after commencement of the penicillin infusion he develops signs of generalised erythema and some mild periorbital oedema.
The nurse stops the infusion and calls for immediate review and advice.
On Examination: BP 150/90, p=120, saO2= 98%. There is no wheeze or stridor. However, he complains of nausea and has vomited once.
QUESTIONS:
1. How severe is this reaction? – ie.grade 1,2,3?
2. Outline your management of this patient, would you give adrenaline? by which route? what dose?
The following links and images may assist you with your answer:
Circulation Journal review on cardiac arrest management
