Abstract:
:Immediate administration of intramuscular epinephrine to a patient experiencing anaphylaxis is the first-line therapy for this life-threatening allergic reaction. Alhough anaphylaxis is generally a rare occurrence, it has dire consequences if left untreated. In infants, anaphylaxis is typically triggered by exposure to egg, cow's milk, or peanuts. The rapid onset of symptoms in multiple organ systems makes an accurate diagnosis in infants difficult because there are numerous ways in which anaphylaxis may present. The symptoms of infant anaphylaxis are often underrecognized or misdiagnosed for less serious illnesses or even normal findings, including drooling, loose stools, and irritability. Because infants are mostly nonverbal-and most pediatric emergency department visits for anaphylaxis cases are the first diagnosis-ascertaining potential exposure to common allergens is difficult; this further complicates diagnosis in these youngest patients for whom the clinical presentation of anaphylaxis varies widely. A key factor in diagnosing anaphylaxis is the temporal profile of symptom development following allergen exposure; however, some children with anaphylaxis develop symptoms that reoccur hours or days after an initial anaphylactic reaction, making diagnosis challenging. Advanced practice nurses are often the first health care provider to encounter a patient who may be experiencing anaphylaxis. Although diagnostic criteria exist for anaphylaxis, specific criteria for the diagnosis of anaphylaxis in infants have not been developed. As such, it is important to understand and recognize the variable presentation of anaphylaxis in infants and to rapidly diagnose and treat with epinephrine.
journal_name
J Am Assoc Nurse Practauthors
Shroba JAdoi
10.1097/JXX.0000000000000386subject
Has Abstractpub_date
2020-02-01 00:00:00pages
176-183issue
2eissn
2327-6886issn
2327-6924pii
01741002-202002000-00014journal_volume
32pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Caring for frail older adults is a significant healthcare concern as the frailest 10% of the population account for over 70% of healthcare expenditures. Research reveals the use of comprehensive models, such as Program of All-Inclusive Care for the Elderly (PACE), leads to improved functional out...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12379
更新日期:2016-11-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12080
更新日期:2014-01-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000349
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Syphilis staging is important to determine treatment, post-treatment monitoring, and sexual partner follow-up. Many prescribers find syphilis staging to be challenging. Current guidelines for the management of patients diagnosed with syphilis provide little direction aside from an overview of some common sym...
journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-02-20 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2014-03-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2017-08-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2014-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-02-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2016-04-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2017-10-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1097/JXX.0000000000000516
更新日期:2020-10-23 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1002/2327-6924.12062
更新日期:2014-05-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2019-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2019-02-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12289
更新日期:2016-02-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2018-11-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-04-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2018-01-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2015-12-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2019-12-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2015-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1097/JXX.0000000000000023
更新日期:2018-03-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 临床试验,杂志文章
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更新日期:2013-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1002/2327-6924.12262
更新日期:2016-05-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1002/2327-6924.12484
更新日期:2017-08-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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doi:10.1097/JXX.0000000000000423
更新日期:2020-05-21 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
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更新日期:2020-06-01 00:00:00