Latex Allergy response

An allergic response to natural latex rubber products

Defining Characteristics:

Type I reactions:
  • Immediate reactions (<1hour) to latex proteins (can be life threatening); 
  • contact urticaria progressing to generalized symptoms; 
  • edema of the lips, tongue, uvula, and/or throat; 
  • shortness of breath; 
  • tightness in chest; 
  • wheezing; 
  • bronchospasm leading to respiratory arrest; 
  • hypotension; 
  • syncope; 
  • cardiac arrest
May also include:
  • orofacial characteristics: 
  • edema of sclera or eyelids, erythema and/or itching of the eyes, tearing of the eyes, nasal congestion, itching and /or erythema, rhinorrhea, facial erythema, facial twitching; 
  • gastrointestinal characteristics: abdominal pain, nausea; 
  • generalized characteristics: flushing, general discomfort, generalized edema, increasing complaint of total body warmth, restlessness
Type IV reactions:
  • delayed onset: eczema; 
  • irritation; 
  • reaction to additives causes discomfort (e.g., thiram, carbamates); 
  • redness; 
  • delayed onset (hours)
Irritant reactions:
  • erythema; 
  • chapped or cracked skin; 
  • blisters

Related Factors: No immune mechanism response

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Immune Hypersensitivity Control
  • Symptom Severity
  • Tissue Integrity: Skin and Mucous Membranes
Client Outcomes
  • 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
NIC Interventions (Nursing Interventions Classification)
Suggested NIC Labels
  • Allergy Management
  • Latex Precautions

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