[Verified Answer]: A 19 y/o patient with PMH significant for…

A 19 y/o patient with PMH significant for oral contraceptive use and anaphylactic reaction to peanuts presents to the ED with complaints of acute shortness of breath and swelling of the lips and face. The patient states that she was at a friend’s house and accidentally ingested a snack containing peanuts. She has been prescribed an EpiPen, but did not have it with her at the time of exposure. Physical exam reveals urticaria on the patient’s chest and upper back, and significant swelling of the lips and face. Stridor is present on auscultation. VS are as follows: BP 80/50mmHg (MAP 60), HR 130 (ST), RR 40, Temp 37C. 1.) What is the likely cause for this patient’s symptoms? Please describe the pathophysiology of this condition. 2.) What medications are indicated for patients suffering from s/s of anaphylactic shock? What is their mechanism of action? 3.) What are important considerations for the nursing management of patients suffering from anaphylactic shock (including initial stabilization, inpatient monitoring, and patient/ family education)?