Clinical note · #62
Critical care
Patient: Amanda Clark · MRN: 43125786 · Admission: 09/22/2024 · Critical care: 09/22/2024 · Attending: Dr. Samuel White
Primary diagnosis: anaphylactic shock following bee sting. Secondary diagnoses: hypotension, respiratory distress. Critical care time: 110 minutes.
Hospital course
Amanda Clark, a 42-year-old female, was brought to the emergency department after a bee sting triggered an anaphylactic reaction. She experienced hypotension, angioedema, and severe respiratory distress. Epinephrine was administered intramuscularly, followed by intravenous fluids and antihistamines. Despite initial treatment, Ms. Clark developed persistent hypotension and required intravenous epinephrine infusion. She was intubated due to progressive airway swelling and respiratory failure. Continuous hemodynamic monitoring and epinephrine titration were performed over the next 110 minutes until her condition stabilized.
Key interventions
- Epinephrine administration (IM and IV)
- Intubation for airway protection
- Intravenous fluid resuscitation
Condition: stabilized after epinephrine and fluids, remains intubated. Transferred to ICU for continued care.