Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

Spot Diagnosis and Management

Answer


1) Anaphylactic reaction secondary to antibiotic given


2) The management is as follow


a) Withdraw the offensive drug immediately

b) Oxygen 3l/min via face mask

c) IV hydrocortisone 5mg/kg

d) Subcutaneous or IM Adrenaline 0.3-0.5 ml of 1:1000

e) Volume expansion with 500-1000 ml crystalloid or colloid (monitor urine output)

f) Tab. Piriton 10 mg

g) Close observation of vital sign.