Discuss the likely cause of the patient’s urticarial
The boy experiences an acute allergic reaction which involves irregular swellings on his legs and trunk. The hives may have been caused by allergens in the grass or field on which they are playing. The main cause of urticarial is still unknown but can be triggered by several factors which include medication, foods, extreme temperatures, bacterial infection, pollen and insect bites (haha). Since the patient experiences the reaction 10 minutes into the practice, the may trigger for his hives is pollen or insect bites.
Describe the cellular mechanism of Urticaria and how it leads to the signs and symptoms experienced by the patient
Urticaria results from the release of histamine, Kallikrein, bradykinin and other chemicals from the mast cells into basophils in the dermis. These chemicals cause the blood vessels in the affected area of the skin to open up. Consequently, the edema occurs in the dermis of the affected area as the plasma goes to the surrounding tissues. The swellings will be itchy and reddish but they usually go away within 24 hours.
Describe the relationship between the patient’s symptoms and the concept of inflammation.
The boy experiences hives which are itchy and comprises of irregular botches on his legs and trunk. According to the mechanism of Urticaria, when the mat cells detect an allergen, they produce histamine which dilates the small blood vessels in the dermis. This causes the fluid to leak out of them thus generating swelling or inflammations on the skin of the affected area. The patient reports that the size of the area of botches is 10-20 cm and inflammations fade away after 30 minutes. It quite clear that the boy is suffering from Urticaria.
What pharmacological and non-pharmacologic treatment options are available?
The treatment of Urticaria involves identifying and removing the allergens. This can be done through pharmacological and non-pharmacological options. The pharmacological treatment options include use of antihistamines (for acute Urticaria), Omalizumab (for chronic Urticaria), epinephrine and antibodies. The non-pharmacological options include applying the cool compressed wet cloth on the affected area, working in a cool environment and wearing loose-fitting lightweight clothes.
Discuss the complications of Urticaria
Chronic Urticaria has several complications which may risk the patient’s health. Persistent Urticaria can cause a serious allergic reaction such as anaphylaxis. The anaphylaxis is a life-threatening allergic reaction which is characterized by difficulty breathing, dizziness, and swelling of the lips and eyelids. It may cause death if not properly handled within 12 hours.
What teaching would be appropriate to provide the parent and child about Urticaria?
Urticaria should be treated immediately an individual sees the signs and symptoms. The patient should identify his or her allergens and avoid them as much as possible. The allergists can help an individual develop specific avoidance measures designed according to age, occupation, hobbies, and access to medical care. Family and friends should be aware of the individual’s condition and triggers. Always make a follow-up with the specialist. Wear medical jewelry indicating that you’re allergic and the types of your allergens.
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