In which order should the nurse prioritize actions for a patient experiencing anaphylaxis?

In a situation of anaphylaxis, the immediate and critical priority is to ensure a patent airway, as airway compromise can lead to respiratory failure and rapid deterioration of the patient's condition. Anaphylaxis can cause swelling of the airway and bronchospasm, which may lead to choking or suffocation if not addressed immediately.

Following the establishment of a patent airway, administering epinephrine is the next crucial action. Epinephrine is the first-line treatment for anaphylaxis as it acts quickly to reverse the life-threatening symptoms associated with anaphylaxis, such as bronchoconstriction and vasodilation. It relieves airway swelling and stabilizes the patient by enhancing cardiovascular performance.

Finally, placing the patient on a cardiac monitor is essential for monitoring any cardiac changes or complications that may arise from anaphylaxis or the administration of medications, especially because epinephrine can increase heart rate and blood pressure.

In this sequence, the actions are aligned with the standard emergency response to anaphylaxis, ensuring the patient's immediate safety and addressing life-threatening symptoms in the order of their urgency.