Nurses Compass
Care Plan for Anaphylaxis Management
Category: Allergy/Immunology
Assessment
Patient presents with difficulty breathing, swelling, and a rapid drop in blood pressure following exposure to an allergen.
Diagnosis
Risk for ineffective airway clearance related to severe allergic reaction.
Goals
Patient will experience relief from anaphylactic symptoms. Patient will demonstrate understanding of the importance of carrying an epinephrine auto-injector and avoiding known allergens.
Interventions
Administer epinephrine immediately as per emergency protocol. Monitor vital signs and respiratory status closely. Educate patient on the proper use of an epinephrine auto-injector. Provide information on identifying and avoiding known allergens.
Rationale
These interventions help manage life-threatening symptoms, ensure patient safety, and educate on prevention.
Evaluation
Patient's symptoms and understanding of emergency response will be monitored to evaluate the effectiveness of interventions.