Nursing Diagnosis Latex Allergy response an allergic response to natural latex rubber products
No immune mechanism response
• Immune Hypersensitivity Control
• Symptom Severity
• Tissue Integrity: Skin and Mucous Membranes
• Identifies presence of latex allergy
• Lists history of risk factors
• Identifies type of reaction
• States reasons not to use or to have anyone use latex products
• Experiences a latex free environment for all health care procedures
• Avoids areas where there is powder from latex gloves
• States the importance of wearing a Medic Alert bracelet and wears one
Nursing Interventions and Rationales
- Take a careful history of clients at risk: health care workers, rubber industry workers, clients with neural tube defects, atopic individuals (asthma, atopic eczema) and food allergies.
- Question the client about associated symptoms of itching, swelling, and redness after contact with rubber products, or swelling of the tongue and lips after dental examinations.
- Materials and items that contain latex must be identified, and latex free alternatives must be use.
- Five principles for management of latex-allergic clients:
2. Avoid exposure to latex,
3. Inform the surgeons and operating room nurses,
4. Be prepared to treat anaphylaxis,
5. Be vigilant postoperatively and arrange follow-up care.
- Anaphylaxis from latex allergy is a medical emergency and must be treated differently than anaphylaxis from other causes must be placed in a latex-safe environment if necessary create a latex-free environment.
- Do not use latex products in care giving.
- Assess the home environment for presence of natural latex products.
- At onset of care, assess client history and current status of latex allergy response.
- Assist client in identifying and obtaining alternatives to latex products.
- Provide written information about latex allergy and sensitivity.
- Instruct clients to inform health care professionals if they have a latex allergy, particularly if scheduled for surgery.
- Teach clients what products contain natural rubber latex and to avoid direct contact with all latex products and foods that trigger allergic reactions.
- If necessary Instruct client to carry an autoinjectable epinephrine syringe if at risk for anaphylactic episode.