You are dispatched to an electronics manufacturing plant to see a 28-year-old woman. The woman believes she is having an allergic reaction. Security officers will meet you at the front gate and escort you to the patient.
What specific information would you like at this point?
You find this patient in an office area sitting at her desk. From a distance, you notice she is awake and speaking clearly. She does not appear to have any breathing difficulty. She states she had just returned from lunch and began to feel hot and light headed. Her friend pointed out that the patient’s arms and neck are very red, and that her face appears “puffy”.
The patient states she is allergic to peanuts but has not eaten any. She went to a health food café where she had grilled chicken and steamed vegetables. She has no other past history and takes no medications. Her last allergic rx was similar to this. Vitals are: BP-116/70; Pulse-100; RR-20; Lung sounds-clear and equal. No difficulty swallowing, redness to her arms, chest, neck and face.
Would you like to perform any other procedures/exams/testing or obtain other history before treating?
Case Presentation #1 So, what is your complete treatment plan for this patient?
39 year-old male found at home in respiratory arrest with a bradycardic carotid pulse. His wife states he was helping a friend paint when he was apparently stung by a bee. He walked into the house, saying “I don’t feel good,” and collapsed .