After administering an antibiotic to the patient, the nurse notes the patient complaining of feeling ill, is scratching and has hives. The patient soon starts having difficulty breathing and is hypotensive. What is the nurse's assessment of the situation?

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The patient's symptoms are indicative of anaphylaxis: a severe, life-threatening allergic reaction. The airways close, the throat swells closed, and the blood pressure drops dangerously low. The patient may go into shock and die. This is a medical emergency. Anaphylaxis can occur immediately after the administration of medication and can be fatal. Treatment includes immediate discontinuation of the drug and administration of epinephrine (an antagonist), intravenous (IV) fluids, steroids, and antihistamines while providing respiratory support. Patients may have very mild allergic reactions to medications and experience a rash or itching. This patient is not developing septic shock or toxic shock syndrome.

After Administering an Antibiotic to the Patient, the Nurse Notes