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.To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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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