What is included in long-term monitoring of Hymenoptera stings?

Updated: Nov 08, 2018
  • Author: Randy Park, MD; Chief Editor: Joe Alcock, MD, MS  more...
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Answer

Refer all patients with generalized reactions for allergy testing and desensitization, if indicated. Provide means to self-administer epinephrine and diphenhydramine to all patients with generalized reactions, and advise them to wear medic alert bracelets.

Continue treatment with steroids in the ED for 3-5 days. Continue administering antihistamines for at least 24 hours continuous dosing.

Cool sting sites for 12 hours. Keep extremities with stings elevated for 12 hours when development of edema may present difficulties.


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