Anaphylaxis, or anaphylactic shock, is a severe allergic reaction that affects the whole body. It can lead to death.
Anaphylaxis is a response to a substance to which a person has become very sensitive. An antibody called IgE causes cells to release a variety of substances called mediators. These mediators are responsible for the allergic reaction. They affect blood vessels, smooth muscle, and inflammatory cells all over the body.
Anaphylaxis is often an allergic reaction to one of the following:
The symptoms of anaphylaxis may include:
Anaphylaxis is usually diagnosed with a medical history and physical exam.
The best way to prevent anaphylaxis is to avoid any substance that has caused a severe reaction in the past. Persons who are sensitive to insect bites or bee stings should avoid walking with bare feet.
Anaphylaxis can be fatal. After recovery from an episode, there are no long-term effects.
Anaphylaxis is not contagious and poses no risk to others.
Anaphylaxis is a medical emergency. The emergency medical system should be contacted immediately.
Anaphylaxis is treated by a shot of epinephrine given under the skin or into the muscle. The dose can be repeated depending on how the person responds. Other medicines used to treat anaphylaxis include the following:
Oxygen and intravenous fluids are given. If breathing becomes difficult, a tube may need to be inserted to help the person breath.
Many of the medicines used to treat anaphylaxis cause a rapid heartbeat and increased blood pressure. However, these side effects are minimal when compared to the often-fatal outcome of anaphylaxis.
Someone who experiences anaphylaxis should work with the healthcare provider to identify his or her triggers. A medical bracelet that states what the person is allergic to should be worn at all times. People with severe allergies may carry either an Epi-Pen or an Ana-Kit. These are devices containing epinephrine to prevent anaphylaxis. The devices can be used by the person or a bystander to inject the medicine.
Anaphylaxis is a medical emergency. The emergency medical system should be contacted immediately if symptoms recur.
Author:Minot Cleveland, MD
Date Written:
Editor:Crist, Gayle P., MS, BA
Edit Date:05/31/01
Reviewer:Eileen McLaughlin, RN, BSN
Date Reviewed:05/22/01