I completely understand that standpoint!
Original Message:
Sent: 7/19/2023 10:48:00 PM
From: Taria Lee
Subject: RE: Practice Test - Epinephrine Question
I got the question wrong because I think further assessment is necessary. Nausea is a presenting symptom of many health conditions. So is diaphoresis. I am responding to the question as it is written. I am trying not to assume anything that is not stated in the question. My thinking is that because the student has a known allergy to peanuts and is nauseous and diaphoretic that doesn't automatically mean anaphylaxis which is why further assessment would be necessary (in my mind). The question doesn't state that the student ate the peanut or even had contact. It just states that the student has a peanut allergy. Now if the question stated that the student presented with s/s such as rapid pulse, swelling, SOB, chest tightness, throat itching, etc, then sure. I just don't think nausea and diaphoresis are specific enough.
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Taria Lee
Pembroke Pines, FL United States
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Original Message:
Sent: 07-19-2023 22:26
From: Johnna Mckinley
Subject: Practice Test - Epinephrine Question
The following is an excerpt from the Mayo Clinic:
"Symptoms
An allergic response to peanuts usually occurs within minutes after exposure. Peanut allergy signs and symptoms can include:
- Skin reactions, such as hives, redness or swelling
- Itching or tingling in or around the mouth and throat
- Digestive problems, such as diarrhea, stomach cramps, nausea or vomiting
- Tightening of the throat
- Shortness of breath or wheezing
- Runny nose
Anaphylaxis: A life-threatening reaction
Peanut allergy is the most common cause of food-induced anaphylaxis, a medical emergency that requires treatment with an epinephrine (adrenaline) autoinjector (EpiPen, Auvi-Q, others) and a trip to the emergency room.
Anaphylaxis signs and symptoms can include:
- Constriction of airways
- Swelling of the throat that makes it difficult to breathe
- A severe drop in blood pressure (shock)
- Rapid pulse
- Dizziness, lightheadedness or loss of consciousness"
Original Message:
Sent: 7/19/2023 10:23:00 PM
From: Johnna Mckinley
Subject: RE: Practice Test - Epinephrine Question
Nausea and diaphoresis are both symptoms of a severe allergic reaction. Diaphoresis is also a sign of shock, which is life threatening. One purpose of epinephrine is to prevent anaphylaxis and death from anaphylaxis.
On Wed, Jul 19, 2023 at 9:19 PM "Stephanie Rossi, M.S.N., B.S. Nursing, DNP candidate, CSN-IL, CSN/P via" National Association of School Nurses <
Mail@connectedcommunity.org> wrote:
I just know after listening to the review and looking at the question that what they're looking for is give the Epi. My friends child died because...
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Original Message:
Sent: 7/19/2023 10:19:00 PM
From: Stephanie Rossi, M.S.N., B.S. Nursing, DNP candidate, CSN-IL, CSN/P
Subject: RE: Practice Test - Epinephrine Question
I just know after listening to the review and looking at the question that what they're looking for is give the Epi. My friends child died because Epi was delayed - so I'm understandably sensitive to this. That's my full disclosure. ❤️
Original Message:
Sent: 7/19/2023 9:59:00 PM
From: Taria Lee
Subject: RE: Practice Test - Epinephrine Question
Would you consider nausea and diaphoresis to be an indication of decline or life threatening? Maybe epinephrine would be needed after further assessment? Maybe I'm reading too much into the question.
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Taria Lee
Pembroke Pines, FL United States
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