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Question

Difficulty: EasyPhysiological Adaptation

During the administration of a first dose of intravenous ceftriaxone, the client suddenly grasps their neck, stating their throat is closing, and severe expiratory wheezing is noted. Place the following crisis management actions in the correct priority sequence from first to last.

  1. 1Stop the intravenous antibiotic infusion.
  2. 2Assess the airway and administer supplemental oxygen.
  3. 3Activate the rapid response team.
  4. 4Administer intramuscular epinephrine.

Answer

The correct priority sequence is to first stop the offending infusion, then secure the airway and oxygenation, followed by activating emergency support, and finally administering pharmacological reversal agents like epinephrine.
In an acute anaphylactic crisis, the physiological adaptation principles dictate that removing the trigger is the absolute first step. This must be immediately followed by securing the airway (ABCs), calling for specialized emergency assistance, and then administering definitive pharmacological treatments like epinephrine.

Step-by-Step Solution

1
Analyze the clinical scenario to determine the primary pathophysiology.
The client is experiencing acute anaphylaxis, a rapid decompensation state characterized by airway compromise.
Recognizing the life-threatening nature of the allergic reaction dictates the speed and prioritization of interventions.
2
Determine the absolute first action to mitigate the cause.
Discontinuing the intravenous antibiotic infusion.
Further exposure to the antigen must be halted immediately to prevent the anaphylactic cascade from worsening.
3
Apply the ABC (Airway, Breathing, Circulation) prioritization framework.
Ensure a patent airway and apply supplemental oxygen.
Airway edema and bronchoconstriction are immediate life threats that take precedence over all other secondary actions.
4
Determine the next step for acquiring advanced medical support.
Activate the facility's rapid response system.
Additional personnel and advanced airway equipment may be required rapidly if the client's condition continues to deteriorate.
5
Provide definitive pharmacological intervention.
Administer intramuscular epinephrine.
Epinephrine is the definitive treatment for anaphylaxis, reversing vasodilation and bronchoconstriction, and should be administered per emergency protocol.

Key Concept

Anaphylaxis crisis management and prioritization
Estimated Time:1m 0s
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Topics

Physiological Adaptation

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