Long-term management of patients with anaphylaxis
- John M Kelso, MD
John M Kelso, MD
- Section Editor – Anaphylaxis
- Division of Allergy, Asthma, and Immunology
- Scripps Clinic, San Diego, CA
The medical management of anaphylaxis has traditionally focused on recognition and treatment of the acute event. Equally important, however, is the long-term care of a patient who has experienced anaphylaxis and the implementation of measures to prevent and treat recurrences in community settings [1,2].
Long-term risk reduction includes the following elements :
●Ongoing education about recognition and prompt treatment of future anaphylactic episodes.
●Optimal management of relevant comorbidities (eg, asthma or cardiovascular disease) and assessment or reassessment of the benefits and risks of concurrent medications, eg, beta-blockers or angiotensin-converting enzyme (ACE) inhibitors.
●Strict avoidance of specific relevant allergens.
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- ONGOING EDUCATION OF PATIENTS
- Important teaching points
- PREPARING THE PATIENT TO TREAT POSSIBLE RECURRENCES
- Self-injectable epinephrine
- Anaphylaxis emergency action plan
- Medical identification
- MANAGEMENT OF COMORBIDITIES
- Medications for other disorders
- EFFECTIVE AVOIDANCE OF SPECIFIC RELEVANT ALLERGENS AND COFACTORS
- INTERVENTIONS TO REDUCE SENSITIVITY TO SPECIFIC ALLERGENS
- FUTURE LABORATORY TESTS TO PREDICT RISK OF ANAPHYLAXIS
- Internet resources
- SOCIETY GUIDELINE LINKS
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS