First aid in the event of an allergic reaction. Hives


Individual intolerance reactions often develop suddenly and can progress rapidly. Therefore, an important role is played by a timely response and even the provision of emergency assistance to the victim.

Hives

Urticaria refers to a whole group of dermatological ailments that can be triggered by various factors. The development of such diseases is accompanied by similar symptoms - the patient's skin is covered with itchy spots of pale pink color. These symptoms can occur in almost all areas of the body. For them, the occurrence of severe itching is typical, which causes a desire to actively comb the skin.

By itself, urticaria is an exclusively local manifestation of an allergy and cannot pose an immediate threat to health. However, a severe form of the disease often becomes a symptom of an onset of anaphylactic shock or developing Quincke's edema, which can provoke the death of the victim.

Urgent care

First aid for urticaria should begin with the exclusion of Quincke's edema and anaphylaxis. Indeed, at the slightest suspicion of such conditions, it is necessary to immediately call an ambulance. In particular, allergic Quincke's edema classically manifests itself in visible swelling of the facial areas, affects the neck, as well as the lower and upper extremities and genitals. In principle, the same symptom can be observed with progressive anaphylaxis, the patient may additionally be disturbed by a feeling of heat throughout the body, a feeling of dizziness and tinnitus.

Also, you can’t do without calling an ambulance if:

  • Urticaria is especially pronounced, spreads over a large area of ​​the body and causes severe discomfort.
  • Urticaria appeared for the first time in a small child.
  • Despite all the measures taken, rashes on the skin are progressing.

First aid for hives

If ordinary urticaria has developed, first aid can be safely carried out at home and does not require an ambulance call. It is imperative to exclude the further effect of the allergen on the body:

  • Stop taking medications.
  • Take a sorbent medicine (Polipefan, Enterosgel, Smektu, etc.), you can also wash the stomach and drink a laxative. Such measures are relevant when an allergen enters the body through the mouth (food, medicines, etc.).
  • Eliminate the source of the poison, for example, the sting of an insect.
  • Get rid of the irritant on the epidermis (if the allergy is of a contact nature).

Further therapy consists in taking any antihistamine medication that is suitable for age (adults need to drink tablets, and children need syrup or drops). Usually, preference is given to second-generation drugs - Zirtek, Loratadin, Erius, which cause a minimum of side effects and give a persistent anti-allergic effect for at least a day.

Danger to life

Urticaria is very often fixed with progressive anaphylactic shock or Quincke's edema. If you suspect the development of such conditions, the correct first aid can really save the life of the victim. Action algorithm:

  • The first step is to eliminate contact with the allergen.
  • The patient must be reassured, laid on his back so that his legs are somewhat raised.
  • It is important to control the condition of the victim and his consciousness.
  • In case of loss of consciousness, it is extremely important to open the airway by turning the head to the side and making sure that the breathing is stable. If there are foreign bodies, mucus, etc. in the oral cavity, it is important to carry out timely cleaning.
  • If suddenly the victim's breathing and pulse disappear, it is necessary to start cardiopulmonary resuscitation.

With a tendency to allergic reactions and a history of anaphylaxis or Quincke's edema, doctors recommend always having medicines (adrenaline or hormones) with you that can block the development of emergency conditions. This recommendation is especially relevant for parents of children with allergies.

Urticaria in children

This type of allergic reaction is very common in babies of different ages and usually appears very quickly after exposure to an irritant. Emergency care for urticaria in children is exactly the same as in adults. However, it is very important to carefully monitor the reactions of the child and, in case of any deterioration in well-being, contact the doctors. To quickly eliminate the manifestations of urticaria, you must:

  • First of all, calm the baby.
  • Give the child any antihistamine available in the house. If only tablets for adults are at hand, they can be divided into parts and used in pediatric practice, taking into account the age and weight of the baby.
  • When bitten by insects, it is important to quickly apply cold to the affected area and call an ambulance. This type of allergic reaction often progresses very quickly.
  • To reduce the itching and discomfort of the rash, you can rinse your baby under a cool shower or soak in a cool bath.
  • An allergy gel or cream can be applied to the affected areas.

Even a single occurrence of insignificant urticaria in children requires a mandatory consultation with an allergist. After all, a repeated allergic reaction can occur quite suddenly and be much more intense and, accordingly, more dangerous.

Emergency care for urticaria is the key to quick and effective treatment of this disease. Urticaria is considered a skin disease that manifests itself as a rash with red patches of irregular flat or raised shape, which additionally cause burning and itching. The main feature of this disease is that it starts very abruptly and quickly spreads throughout the body. In addition, it is quite difficult to completely recover, so it can occur from time to time.

First aid measures for hives

Urticaria causes great discomfort, so it is very important to provide first aid to the patient as soon as possible. To begin with, it is necessary to protect a person from an allergen, i.e. eliminate the factor that is the irritant. Further emergency care is that it is urgent to drink antihistamines. In addition, it is important to take membrane-stabilizing drugs on time. Ketotifen will help well (taken three times a day, dosage - 1 mg) and Suprastin (taken three times a day, dosage - 0.025 mg). If the urticaria becomes more and more severe, and the patient's condition worsens, then glucocorticosteroids should be taken. After that, the treatment should move to the third level, when the patient's body should be completely cleansed. To do this, it is recommended to drink activated charcoal, which is the most proven drug. Instead, you can use enterosgel, smecta or other drugs that are sorbents. Rice is a good natural sorbent; instead of tablets, you can eat a portion of this product.

After that, you need to wait a day. During this period, it is important to limit yourself to food. Doctors recommend not eating food on the day of cleansing, but only drinking water, preferably mineral and non-carbonated. To quickly clean the intestines, you can do an enema. Enemas with soda help very well. But this is not enough, because a person may suffer from itching on the skin. To eliminate this symptom, a mixture of tooth powder is excellent. Here you can add powder for children, stir. Then some water is added to the mixture. This mixture well relieves redness, burning and itching on the skin. Instead, you can use regular cold compresses. Emergency care should be prompt and include all of the above measures.

Urticaria treatment

The treatment of this disease depends entirely on its form. If the patient suffers from, then you need to take drugs that eliminate the symptoms of allergies. Most often, in this case, such means as Erius, Kestin, Telfast and Claritin help. These drugs have a long duration of action and do not affect the central nervous system. But if the solar type of urticaria began to develop in a pregnant woman, then these drugs are forbidden to use. It is very important not to appear in places where there is direct sunlight for several days, otherwise this will cause the symptoms to reappear.

treatment is not always required. Therapeutic measures are carried out only when the first symptoms began to appear after significant physical exertion, in stressful situations, or after a warm shower. In this case, you should try to limit the patient from the allergen, as well as eliminate all symptoms. By the way, the thermal type of the disease has the same principles of treatment.

If an acute form of the disease occurs, then antihistamines are needed. It is best to use new generation drugs. For example, Tavegil and Suprastin. In addition to these measures, doctors can also use hormone therapy.

Allergic urticaria requires treatment that eliminates the main irritant. In addition, the methods of treatment listed above are also used.

If the disease is recurrent, then histoglobulin should be used for treatment. This is due to the fact that this form of the disease is caused by eliminated foods.

If the disease has developed into a chronic form, then doctors mainly use drugs such as Cetirizine (every evening, dosage - 0.01 g) or Poratadine (once a day, dosage - 10 mg).

If urticaria develops in a child, then a few more funds are added to the above drugs. The child needs to drink Ebastine (syrup), and also apply Cyproheptadine (every 7 hours, dosage - 0.25-0.5 mg, depending on the age of the child). For adults, you can use the same drugs as a supplement, just increase the dose.

How to treat the disease at home?

Some people at the first symptoms of hives do not want to go to the hospital and are treated on their own. However, this is wrong, because even if the symptoms of the disease are eliminated, the urticaria may return. And the doctor will be able to find out not only the factor that led to the appearance of the rash, but also to identify diseases that increase the risk of urticaria. In addition, he will be able to choose the right drugs for effective and quick treatment, as well as give advice on preventing the disease.

Sometimes you just need to eliminate the allergen, and the disease goes away. For example, if the rash appeared due to frequent exposure to the sun, then you should refrain from walking during the day. If the rash arose due to stress, then it is enough to calm down and stop worrying. If the cause of the disease was drugs and the body reacted this way to the substances contained in them, then you need to stop taking these drugs for a while.

By the way, many do not know about. In fact, this is a purely individual disease, which is the body's reaction to an irritant, so the rash will not be transmitted to another person, because. it is not a bacterial or viral infection and not a fungus.

Many people believe that with hives it is forbidden to wash. Do not confuse this disease with rubella and chickenpox. This is not an infectious disease, so it will not spread through the body due to contact with water. Washing, of course, is possible and necessary, because. the body releases harmful substances through the pores. But it is better not to use excessively hard washcloths, and in places of a rash do not use them at all. You need to choose a soap that is very soft: “Children's” is well suited, other options dry the skin a lot.

First aid for urticaria consists of a series of measures that are aimed at quickly treating the patient and improving his health.

Most often, urticaria begins very abruptly and develops rapidly. It can be either ordinary redness, which does not interfere with a person, or swelling, burning, itching, and weakness. If first aid is provided in time, the patient will begin to recover faster, and the symptoms will not appear acutely. But each person must understand that even if all the symptoms are eliminated with the help of antihistamines and lotions, you still need to urgently consult a doctor, because. complications and side effects are possible, which can not be immediately determined. In addition, the doctor will help with the identification of the allergen and the cause of the development of an allergic reaction to it. Emergency care is not enough to completely cure the patient.

allergic reactions (hypersensitivity reactions) are reactions of the immune system, accompanied by damage to healthy tissues of one's own body.

Hives clinically manifested by a rapid rash on the skin of itchy blisters (edema of the papillary layer of the skin). Urticaria is most often caused by drugs, food and insect allergens.

Quincke's edema is an acutely developing, localized swelling of the dermis and subcutaneous tissue.

Emergency (first) aid for urticaria and angioedema

 It is necessary to stop human contact with a harmful allergen.

 Call an ambulance. Before the arrival of the ambulance, the patient must be given a supine position with raised limbs and provide air access - unfasten outer clothing, release the throat from squeezing, open the window.

 If the allergy has come as a result of an insect bite in the upper or lower extremities, or if a drug has been introduced, it is necessary to apply a tight tourniquet above this place. A cold compress should be applied to the affected area - this will reduce itching and will prevent the growth of edema.

 To remove the allergen, the patient must drink a lot. It is advisable to give him an alkaline drink. He also needs to be given activated charcoal or smectite.

hay fever- atopic disease caused by plant pollen. The disease is characterized by seasonality, mainly during the flowering period. There is a cross food allergy (sunflower and sunflower oil).

Pollinosis is manifested by acute conjunctivitis, rhinitis, sinusitis, acute inflammation of the respiratory tract.

Emergency care for pollinosis

1) interruption of contact with the allergen:

2) antihistamines (pipolfei, suprastin, tavegil, diphenhydramine) intramuscularly and orally, intranasal and eye drops with adrenaline and ephedrine;

3) inhalation or 1 capsule 4 times a day;

4) with conjunctivitis, eye drops with 1% hydrocortisone are indicated;

5) in severe cases, hormones inside a short course.

Anaphylactic shock- an allergic reaction of an immediate type that occurs when the allergen is repeatedly introduced into the body. The first symptom of the disease is usually a pronounced reaction that occurs at the injection site. It manifests itself in the form of pain, swelling, redness, swelling, itching. If the drug was taken orally, nausea, abdominal pain, diarrhea, swelling of the larynx appear.

First aid:

  • Eliminate exposure to the allergen: ventilate the room, stop the administration of the drug, apply a tourniquet above the injection or bite site, treat the wound with an antiseptic, apply cold.
  • Lay the victim horizontally, with a decrease in pressure with slightly raised legs, turn his head to one side, push the lower jaw, remove dentures from his mouth.
  • Monitor the pulse, pressure, breathing of the patient., 35.8
  • Make him take an antihistamine (tavegil, suprastin, fenkarol).
  • After the arrival of the doctors, provide them with information about the exact time of the onset of the reaction, symptoms, assistance provided, anamnesis, if known.
Reading time: 6 min.

Urticaria or, in medical terms, urticaria is considered one of the most common diseases in dermatology. The main distinguishing symptom is large bright pink blisters that rise above the surface of the skin, similar to nettle burns.

Many people do not consider urticaria to be a serious disease and do not rush to see a doctor when its symptoms appear. However, in some cases, urticaria can be severe and lead to complications that pose a threat not only to health, but also to human life. The disease is especially dangerous for young children.

Timely provided pre-medical emergency care for urticaria is of great importance in preventing unpleasant complications. In order to skillfully and skillfully rid a person of the symptoms of urticaria, it is necessary to have an idea of ​​​​the causes of the disease, the main symptoms and be aware of the possible consequences.

Causes of hives

The most common cause of symptoms of hives is an allergic reaction to a person's contact with irritants. The following factors can provoke the disease:

  • nuts, honey, milk, sweets and other foodstuffs;
  • pharmaceutical preparations;
  • hair and excretions of animals;
  • severe hypothermia;
  • prolonged exposure to the sun;
  • mechanical effect on the skin;
  • insect bites;
  • plant pollen, etc.

In addition, urticaria can appear with helminthiasis, chronic diseases of the gastrointestinal tract, malignant neoplasms, and autoimmune diseases. Often, skin rashes are the result of nervous or emotional overload, as well as stress.

Main symptoms

Regardless of the method of occurrence, urticaria has characteristic clinical manifestations. These include:

  • skin redness;
  • the appearance of edema;
  • voluminous blisters that can merge into large formations;
  • burning and soreness when touching the affected areas;
  • itching, worse in the evening and at night.

In severe cases, the picture can be supplemented by fever, chills, muscle and joint pain, nausea, and vomiting.

What is the danger of hives

Dermatologists warn that seemingly harmless skin rashes with urticaria can eventually lead to such unpleasant consequences:

  • allergic rhinitis joins the symptoms of urticaria, which, starting with discharge from the nose, can cause bronchial asthma;
  • in a patient with urticaria, the mucous membrane of the eye swells and allergic conjunctivitis develops;
  • the time intervals between relapses of urticaria are reduced, and the intensity of attacks increases;
  • the number of allergens that can cause disease increases;
  • appearing at first on separate parts of the body, urticaria can become generalized, spreading to most of the skin.

In addition, unbearable itching brings a lot of suffering to a person, makes him overly excited and nervous, which negatively affects the quality of life. Therefore, it is very important to save the patient from discomfort by providing him with emergency care.

First aid for hives

The most important thing in the treatment of urticaria is the complete cessation of contact with the irritant that provoked the attack. For this you need:

  • in case of thermal or solar urticaria, place the patient in a cool shaded room;
  • in case of insect bites, immediately remove the sting;
  • with or food urticaria, provoke vomiting and flush the stomach;
  • with dermatographic - remove all pressing clothing - belts, belts, straps, etc.

In the case when the source of urticaria is unknown, it is necessary to rid the person of possible allergens as much as possible: remove carpets, soft toys and other sources of household dust from the room, take out indoor flowers, replace feather and down pillows with hypoallergenic ones.

To alleviate the condition and get rid of the symptoms of urticaria, the patient must take an antihistamine.

The most effective for adults are II and III generation pharmaceuticals. These include:

  • Cetrin;
  • Zyrtec;
  • Erius;
  • Claritin;
  • Rupafin;
  • Allergostop;
  • Hismanal.

Unlike drugs of the first generation (Tavegil, Suprastin, Diphenhydramine), they do not have a sedative effect. In addition, these medicines are prolonged, so it is enough to take one tablet during the day.

When urticaria appears in a child, such antihistamines are used in the form of tablets or syrups:

  • Zodak;
  • Zyrtec;
  • Erius;
  • Elyse.

Before giving medicine to a baby, you need to carefully read the dosage, which is described in the instructions for the drug.

In addition, first aid for urticaria includes taking such medications:

  • Enterosgel, activated carbon, Sorbeks - to reduce intoxication;
  • Tincture of motherwort or valerian, Nott, Persen, Novopassit - with nervous excitability of the patient or sleep disturbances;
  • Calcium gluconate 10% solution, Calcium chloride 10% solution - to reduce sensitization.

In severe urticaria, drugs containing corticosteroids are used - Prednisolone, Hydrocortisone, Dexamethasone. An injection of one of these remedies can quickly stop an attack of urticaria and bring relief to the sick person.

It is important to remember that hormonal drugs have contraindications, so their use for children, pregnant women or people with chronic diseases should be carried out only in emergency cases in strict accordance with the dosage.

To relieve the symptoms of allergic rhinitis and eliminate nasal congestion that interferes with normal breathing, the following sprays are used:

  • Tizin allergy;
  • Allergodil;
  • Histimet;
  • Reaktin;
  • Vibrocil.

The effect of the use of these drugs occurs within 5-10 minutes.

When the clinical manifestations of urticaria spread to the mucous membrane of the eyes, the following drops are shown:

  • Lecrolin;
  • Opatanol;
  • Documented;
  • Vizin;
  • Ketitofen.

First aid measures for urticaria include folk methods. The following recipes will help alleviate the condition:

  • soda compress. Dilute baking soda with drinking water to a mushy state, apply to a gauze pad and apply to the skin;
  • potato applications. Cut raw potatoes into thin slices and lay on the affected area;
  • lotions from decoctions of herbs. 2 tablespoons herb succession, nettle, yarrow or chamomile pour 400 ml of boiling water and leave for an hour. Strain and use for lotions on rashes.

If urticaria is provoked by plant pollen, use medicinal drugs as first aid. herbs are prohibited, as it can aggravate the course of the disease.

In the case when, despite all the measures taken, the person's condition worsens, you should seek emergency medical help.

Fast and effective relief from itching

Exposure to various irritants leads to increased production of histamine in the body, which provokes the appearance of skin rashes and severe itching. At the same time, both individual areas of the skin (localized itching) and the whole body (generalized) can itch.

Increasing in the evening and at night, itching causes insomnia, interferes with proper rest and makes a person irritable. Therefore, it is very important to relieve the patient of this unpleasant symptom as soon as possible.

As a first aid measure, you can wipe the affected areas with a cotton swab dipped in any alcohol medicinal infusion (calendula, eucalyptus, propolis, mint). In extreme cases, vodka or triple cologne will do. This will not only reduce itching, but also disinfect the skin and prevent the development of inflammation.

Antipruritics for adults

Along with oral antihistamines to relieve symptoms urticaria use external preparations of two types:

  • non-hormonal;
  • hormonal.

The former are considered relatively safe, so they can be used even during pregnancy and lactation. They are not addictive and can be used for a long time.

The drugs in this group include:

  • psilo balm;
  • Bepanthen;

  • Zinc-salicylic ointment;
  • Skin cap;
  • Soventol.

In the case when non-hormonal drugs do not have the desired effect, ointments with corticosteroids are connected to the treatment:

  • Advantan;
  • Triderm;
  • Akriderm;
  • Gistan-N;

These drugs should not be applied simultaneously to large areas of the skin and should be used with caution on the face and mucous membranes. To avoid deterioration of the condition, their use must be agreed with the doctor.

How to relieve itching in children

The intense itching of hives causes young children to constantly itch. As a result, scratches and abrasions appear on the skin, into which pathogenic microorganisms can penetrate and cause inflammation and suppuration. In addition, the child becomes moody, sleeps poorly and loses appetite.

To prevent this from happening, the baby needs to get rid of itching as soon as possible. To this end, the affected areas should be lubricated with the following external ointments:

  • Bepanthen;
  • Panthenol;
  • La Cree;
  • Nezulin;
  • Fenistil.

If the child has severe urticaria, then you can use the hormonal ointments Elok or Advantan. Their components practically do not penetrate into the bloodstream and do not lead to negative side effects.

You can also reduce itching in a baby with folk methods, for example, baths with medicinal herbs. To do this, you need to mix in equal quantities the grass of the series, nettle, mint, calamus, chamomile, valerian. Then pour 100 g of the mixture into 2 liters of boiling water and soak in a water bath for 1 hour. Filter the infusion, cool and pour into the bath. The procedure is best done before bedtime.

Anaphylactic shock and Quincke's edema with urticaria

First aid for an acute attack of urticaria plays a big role in preventing complications. However, situations may arise when a rapidly developing disease carries a danger to the patient's life. In this case, the count goes to minutes and seconds. These conditions include anaphylactic shock and Quincke's edema.

Anaphylactic shock and emergency measures

The intensity of the manifestation of symptoms depends on the duration of contact with the allergen and the individual characteristics of the body. These include:

  • the appearance of bright red rashes;
  • swelling of the lips and mouth, eyes;
  • sensation of a metallic taste in the mouth;
  • nausea and vomiting;
  • dizziness;
  • signs of suffocation;
  • tachycardia;
  • a sharp drop in blood pressure.

The affected person feels an attack of fear and often loses consciousness. If care is not provided in time, cardiac arrest and death can occur.

When the first signs appear, you need to call an ambulance. To save the patient, the following actions should be taken:

  • eliminate contact with the allergen;
  • lay the person on a hard, flat surface on their side to prevent the tongue from sinking and choking on vomit. The legs should be raised;
  • intravenously inject 1 ml of a 0.1% solution of adrenaline diluted in 10 ml of saline. In case of clinical death, adrenaline is administered without dilution;

  • every 4 hours intravenously inject Prednisolone 100 ml;
  • intramuscularly or intravenously inject Diphenhydramine (2-5 ml of a 1% solution);
  • salbutamol inhalation to relieve bronchospasm.

In case of cardiac arrest, it is necessary to immediately begin resuscitation measures - artificial respiration and chest compressions.

Emergency care for Quincke's edema

Quincke's edema or giant urticaria is a powerful allergic reaction to an irritant. Rapidly developing, it affects not only the external, but also the internal organs of a person. The most dangerous manifestation of it is swelling of the larynx, which can lead to asphyxia (suffocation) and death.

The first aid that needs to be provided to the victim before the arrival of doctors is as follows:

  • get rid of contact with the allergen;
  • put the patient on the bed, removing all pressing clothing - tie, belt, bra, etc. Unbutton the top buttons on the shirt;
  • ensure the flow of fresh air into the room;
  • put an ice compress on the site of the lesion;

  • cause the patient to vomit (with food or drug urticaria);
  • give activated charcoal or other enterosorbent;
  • drip Nazivin into the nose to relieve congestion;
  • give the patient an antihistamine tablet.

You can slow down the spread of edema to the mucous membranes of the larynx with the help of hot foot baths.

The measures of medical care that should be taken for Quincke's edema include:

  • intramuscular injection of 0.3-0.5 ml of 0.1% adrenaline solution;
  • administration intravenously or intramuscularly 80-100 ml of Prednisolone;
  • intramuscularly Diphenhydramine 5% 2 ml or Pipolfen 2.5% 2 ml;
  • inhalation of Salbutamol or Alupent.

Even if the measures taken have improved the patient's condition, he must be hospitalized in the intensive care unit or ENT department, depending on the severity of the disease. At any time, it may be necessary to perform a tracheostomy, which can only be performed in a hospital setting.

In case of an acute attack of urticaria, Quincke's edema and anaphylactic shock, it is strictly prohibited:

  • offer the patient food and sweet drinks;
  • give antipyretic drugs;
  • put pillows under your head;
  • leave the patient unattended.

If a serious condition is caused by an injection of a drug, the needle should not be removed from the body, since it will be more convenient to administer antiallergic medicines through it.

It is important to remember that timely and correct assistance can save a person's life.

Urticaria is the body's reaction to a specific allergen. A similar skin reaction can occur at any age, even in infants. ov. The disease appears instantly and can focus on any place. In this case, pink or red spots appear on the skin. If you press on the spot and stretch it slightly, you can see a convex white dot. Rashes on the skin can last from two hours to several days. The rash may quickly disappear and reappear on a different area of ​​the skin. During the disease, mucous membranes may also suffer, swelling of the stomach, esophagus and larynx.

In severe cases, diarrhea, vomiting, and difficulty breathing may occur. If the disease is observed in a child, then the initially satisfactory condition may change:

  1. Feeling worse;
  2. There are symptoms indicating intoxication;
  3. The body temperature rises.

Half of the children are at risk of developing Quincke's edema or subcutaneous edema. Therefore, when treating urticaria, you should be aware of the features of first aid.

Medications, food, sun, cold, heat can provoke a reaction. The causes of this disease are also infectious allergies, irritation of the skin of a mechanical nature, or dysfunction of organs. There is a risk of urticaria if children have been in contact with synthetics, plant allergens, animal hair.

If the elements appear constantly and relapses occur from time to time, then we are talking about chronic urticaria.

Help with hives

With urticaria, first of all, it is necessary to use suprastin or diphenhydramine. Instead of these drugs, you can also use tavegil or pipolfen. It is enough to dilute 1-2 ml of one of the listed drugs with saline (10 ml). It is taken intravenously.

If large areas of the skin were affected or the disease was complicated by Quincke's edema, then intravenous administration of prednisopon (30-60 mg) is necessary.

If there are no such medicines, it is necessary to resort to other methods. The main thing is to wash the stomach and carry out an enema.

In addition, the patient must be given:

  • enterosorbent, for example, activated carbon 1 tablet per 1 kg of body weight;
  • diphenhydramine (2-3 tab.);
  • suprastin;
  • 1 tbsp calcium chloride solution (5-10%).

Also, all those places that have come into contact with the allergen must be treated with an ointment that contains hydrocortisone or prednisopone.

Urticaria emergency care includes the following activities:

  • it is necessary to immediately exclude contact with the allergen;
  • lay down the patient. Then the tongue will not sink, the aspiration of vomit is excluded;
  • if the urticaria appeared as a result of an insect bite, a tourniquet is applied. It must be attached above the affected area;
  • it is necessary to enter mezaton or adrenaline, norepinephrine (intramuscularly or intravenously) is also suitable;
  • introduce antihistamines, but only after the blood pressure rises;
  • carry out symptomatic treatment (you can use lasix, corglicon, zufillin).

If the patient was given the correct first aid for urticaria, then the symptoms of the disease will immediately begin to disappear (the rash will turn pale and decrease, the itching will disappear). In such cases, it can be left at home. It is only necessary to use antihistamines (3 times a day) and inform your local physician about the disease. If there are signs of respiratory distress or Quincke's edema, the patient should be hospitalized in the therapeutic department.


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