Prescribing Safety Assessment (PSA) Practice Exam

What is the first step in the management of Anaphylaxis?

1. A-E Assessment

2. Administer Oxygen 15L

3. Remove the cause immediately

4. Document allergy and reaction

The correct answer is: A-E Assessment

The first step in managing anaphylaxis is conducting an A-E (Airway, Breathing, Circulation, Disability, and Exposure) assessment. This approach is crucial because it allows the healthcare provider to systematically evaluate the patient's vital functions and identify any immediate life-threatening concerns. In cases of anaphylaxis, the airway may be compromised due to swelling, and breathing difficulties can arise from bronchoconstriction or laryngeal edema. Assessing circulation is essential, as anaphylaxis can lead to significant hypotension. A structured assessment ensures that appropriate interventions are initiated promptly, prioritizing the patient's safety and stability. While it’s important to remove the cause of anaphylaxis and document the allergy later in the management process, these actions follow after ensuring the patient’s immediate needs are met through the A-E framework. Administering oxygen may be necessary depending on the breathing assessment results, but confirming the patient’s overall stability and assessing urgent needs comes first.