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[QUOTE="Muppet, post: 51313, member: 252"] Angioedema is similar to an allergic reaction. W/O getting into patho-phys. it can cause shock (Profound vasodilation/lung constricton, third spacing, dis. shock). Treatment: -Minimal: Benadryl, 50mg (histamine reaction), Solu-medrol,125 mg, (inflamation, 4-6 hrs onset) -Major: Add Epi, 1,1000 (vaso-constrictor/bronchodilator and histamine blocker) I.M. or I.V., 1,10.000, 0.1mg slow I.V. -Bronchospams: Add Albuterol. -Shock/non-breather: Tube/cric and fluids. -Really bad: Add pressors (Dopamine). It depends on the provider and as Annie said, it depends in the situation. I have tubed/cric'd then given meds. and I have waited and given meds. first. I had a guy a couple weeks ago that had Angioedema and edema in the mouth. I went with meds. first and prepped his neck. His tongue was the size of a car so a tube was out of the question. The meds. worked. Angioedema occurs sub-dermally and allergic reactions occur dermally causing the wheals and urticaria. F.M. [/QUOTE]
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