allergic reaction

DC Inst: Allergic Reaction

DC

You have been evaluated in the Emergency Department today for an allergic reaction. You have been given medications to control your symptoms. You have been observed for several hours in the Emergency Department and you are stable for discharge at this time. You can take Benadryl and Pepcid, which are available over the counter, to help control your symptoms at home.

***You have also been given a prescription for steroids, please take them as directed.

Please schedule an appointment with your primary care physician for follow up.

Return to the Emergency Department if you experience rashes, difficulty breathing or swallowing, lip/mouth/tongue swelling, vomiting, or for any other concerning symptoms.

Thank you for choosing us for your care.

ALLERGIC RASH – Low Risk

MDM

This patient presents with symptoms consistent with acute hypersensitivity reaction, likely acute allergic reaction. Presentation not consistent with acute anaphylaxis (lack of pulmonary, dermatologic, cardiovascular or GI symptoms, lack of hypotension or exposure to known allergen), angioedema, serum sickness (no recent drug exposure, lacks fevers, arthralgias), ingestion of preformed toxin. No evidence of airway compromise or shock at this time. Plan to treat for an allergic reaction with H1/H2 blockers, steroids. No indication for epinephrine at this time.*** Given lack of respiratory symptoms, no indication for EpiPen Rx.***

Plan: ***H1/H2 blockers, steroids, close hemodynamic monitoring, serial reassessment