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LATEX ALLERGY RESPONSE Nursing Care Plan

Latex Allergy Response
A hypersensitive reaction to natural latex rubber products

Defining Characteristics
Positive skin or serum test to natural rubber latex (NRL) extract.
After exposure to latex protein:
Contact dermatitis progressing
to generalized
symptoms
Flushing
Redness
Eczema
Wheezing
Itching
Edema (e.g., facial, eyelids,
tongue)
Allergic conjunctivitis
Asthma
Rhinitis
Urticaria
NOC
Immune Hypersensitivity Control

Goal
The client will report no exposure to latex, as evidenced by the
following indicators:
• Describe products of NRL.
• Describe strategies to avoid exposure.

Interventions
Assess for Causative and Contributing Factors
Eliminate Exposure to Latex Products
Use Nonlatex Alternative Supplies
• Clear disposable amber bags
• Silicone baby nipples
• 2 3 2 gauze pads with silk tape in place of adhesive bandages
• Clear plastic or silastic catheters
• Vinyl or neoprene gloves
• Kling-like gauze
Protect From Exposure to Latex
• Cover the skin with cloth before applying the blood pressure
cuff.
• Do not allow rubber stethoscope tubing to touch the client.
• Do not inject through rubber parts (e.g., heparin locks); use
syringe and stopcock.
• Change needles after each puncture of rubber stopper.
• Cover rubber parts with tape.
Teach Which Products Are Commonly Made of Latex
Health Care Equipment
• Natural latex rubber gloves, powdered or unpowdered, including
those labeled “hypoallergenic”
• Blood pressure cuffs
• Stethoscopes
• Tourniquets
• Electrode pads
• Airways, endotracheal tubes
• Syringe plunges, bulb syringes
• Masks for anesthesia
• Rubber aprons
• Catheters, wound drains
• Injection ports
• Tops of multidose vials
• Adhesive tape
• Ostomy pouches
• Wheelchair cushions
• Briefs with elastic
• Pads for crutches
• Some prefilled syringes
• Erasers
• Rubber bands
• Dishwashing gloves
• Balloons
• Condoms, diaphragms
• Baby bottle nipples, pacifiers
• Rubber balls and toys
• Racquet handles
• Cycle grips
• Tires
• Hot water bottles
• Carpeting
• Shoe soles
• Elastic in underwear
• Rubber cement
Initiate Health Teaching as Indicated
• Explain the importance of completely avoiding direct contact
with all NRL products.
• Advise that a client with a history of a mild skin reaction to
latex is at risk for anaphylaxis.
• Instruct the client to wear a Medic-Alert bracelet stating
“Latex Allergy” and to carry auto-injectable epinephrine.
• Instruct the client to warn all health care providers
(e.g., dental, medical, surgical) of the allergy.

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1 comment:

  1. Nice article you have shared with us. Now a days Disposable Nitrile Gloves are used by most of the doctors to reduce the risk level. If you want to know more about disposable gloves visit Gloves4u Limited and get more detail.

    ReplyDelete