Nursing care plan for anaphylaxis



Anaphylaxis care plan

Anaphylaxis is a severe, potentially life-threatening allergic reaction. It can occur in response to a trigger such as an insect sting, medication, or food. Anaphylaxis requires immediate medical attention and can be treated with epinephrine (adrenaline).


The assessment of anaphylaxis includes a thorough history and physical examination. The individual’s history may reveal a previous episode of anaphylaxis, a family history of allergies, or a known allergy to a particular trigger.

Physical examination findings in anaphylaxis can vary depending on the severity of the reaction. Vital signs may be normal or may reveal tachycardia, hypotension, or respiratory distress. The skin may be flushed, pruritic, or erythematous. Angioedema may also be present.

Nursing diagnoses

The nursing diagnoses for an individual with anaphylaxis include:

  • -Airway obstruction related to bronchospasm and edema
  • -Cardiac dysfunction related to myocardial dysrhythmias
  • -Fluid volume deficit related to third-spacing of fluids and increased insensible losses
  • -Anxiety related to the threat to personal safety
  • -Imbalanced nutrition: Less than body requirements related to anaphylactic reaction and nausea/vomiting


The outcomes for an individual with anaphylaxis include:

  • -maintain patent airway
  • -maintain hemodynamic stability
  • -maintain fluid volume
  • -reduce anxiety
  • -attain/maintain nutrition


The interventions for an individual with anaphylaxis include:

  • -epinephrine administration
  • -airway management
  • -fluid resuscitation
  • -monitoring vital signs
  • -supportive care


The rationales for the interventions in anaphylaxis care include:

  • -Epinephrine is the first-line treatment for anaphylaxis and should be administered immediately.
  • -Airway management may be necessary in severe cases of anaphylaxis.
  • -Fluid resuscitation is necessary in individuals who are hypotensive or have significant third-spacing of fluids.
  • -Monitoring vital signs is necessary to assess the individual’s response to treatment and to identify any complications.
  • -Supportive care is important in all cases of anaphylaxis.


The evaluation of anaphylaxis care includes monitoring the individual’s response to treatment and assessing for any complications.


Anaphylaxis is a potentially life-threatening emergency that requires prompt treatment and nursing care.

Isabella White

Hello to all nursing enthusiasts! I'm Isabella White and I'm thrilled to welcome you to this space dedicated to the exciting world of nursing. Let me share a little about myself and what we can expect together on this journey. About Me: Nursing is more than just a profession to me, it's a calling. When I'm not caring for my patients or learning more about health and wellness, you'll find me enjoying the great outdoors, exploring new trails in nature, or savoring a good cup of coffee with close friends. I believe in the balance between caring for others and self-care, and I'm here to share that philosophy with you. My Commitment to You: In this space, I commit to being your reliable guide in the world of nursing. Together, we'll explore health topics, share practical tips, and support each other on our journeys to wellness. But we'll also celebrate life beyond the hospital walls, finding moments of joy in the everyday and seeking adventures that inspire us to live fully. In summary, this is a place where nursing meets life, where we'll find support, inspiration, and hopefully a little fun along the way. Thank you for joining me on this exciting journey. Welcome to a world of care, knowledge, and connection! Sincerely, Isabella White

Leave a Reply

Your email address will not be published. Required fields are marked *

Go up

Usamos cookies Más información