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Anaphylaxis

Anaphylaxis

“…the patient stated, ‘I’m burning’. The nurse anesthetist questioned the patient regarding burning at the site when the patient replied, ‘I’m burning all over!’… [she] was disoriented, thrashing, and pulling off her gown.”

Case Context    Provider Narrative   Lessons Learned

Case Context

Patient: older adult female Ht: Not provided Wt: Not provided
Presenting diagnosis: breast lump; forearm lesion
Planned procedure: breast lumpectomy
Past medical history: Allergy to Sulfa; diabetes; arthritis; neurogenic bladder requiring self-catheterization at home
Past surgical/anesthesia history: laparoscopic cholecystectomy, appendectomy, and cyst biopsy, all uneventful for anesthetic complications
Preoperative meds:
Other pertinent details: Preop EKG: normal sinus rhythm, HR 68; Preop chest x-ray: mild cardiac silhouette enlargement and increased density in the medial aspect of her right lower lung
Anesthetic plan: General anesthesia with a laryngeal mask airway 


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