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Anaphylaxis vs Vasovagal Reaction

A Comparison of Signs and Symptoms


Signs and Symptoms Vasovagal Reaction Anaphylaxis
Interval Sometimesbefore,usuallyaftera Within30minutesafterinjection;the
(afterinjection) fewsecondstoafewminutes mostseverereactionsbeginwiththefirst
aftertheinjection 15minutes
Consciousness FaintingSensation,dizziness,loss Anxiety,whichmayprogressto
ofconsciousnessinsomecases unconsciousnessinseverecases
Breathing Slow,withafewsecondsofapnea Respiratorydifficulties;coughing,
insomecases sneezing,wheezing,stridor
Pulse Slowandweak,butregular Rapid,weakandirregular
Skin Diaphoresis,clammyskin,pallor Warmskin,progressingtoclammyand
pallor
Pruritisandurticaria
(>90%ofcases)
Swellingoffaceandtongue
BloodPressure Hypotension Hypotension(systolicpressure<90mm
Hg),whichmayprogressto
cardiovascularcollapse
GastroIntestinalSystem Nausea,vomiting Nausea,vomiting,abdominalpains,
diarrhea
Treatment Placeclientinarecumbent SeeManitobaHealthProtocolforthe
positionandelevatelegsabove ManagementofSuspectedAnaphylaxis
head(orhaveclientsitwith
headbetweentheirknees
Ventilatetheroomwell
Placecold,dampclothonface
Givereassurance
Prevention Donotvaccinateastanding Beforevaccinating,askifthepersonhas
person.Beforevaccinating,askif everhadananaphylacticreactiontoany
thepersontendstofaint;ifsoask product;ifyes,askforthenameofthe
thepersontoliedown productanddecideaccordingly

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