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cteria, appropriate antibiotics therapy would be necessary. shock or laryngeal edema or dyspnea ? Immediate injection with % adrenalin at by subcutaneous part. ? Inspiring with oxygen. ? Intravenous injection with hydrocortisone at to in 500ml glucose. ? After about 15 minutes, % adrenalin at can be used again. ? aminophylline is used for cases with bronchospasm. 2. Chronic urticaria ? Looking for the real reason is very important, and corticoid must be avoided. ? Administration of antihistamines again and should be taken on a daily basis . ? Antihistamine drugs need to be used more than 1 month after wheals disappear. Sometimes 2 or 3 antihistamines being used together have good effect. Side effects ? The patient should be warned about driving an automobile because of the tendency for drowsiness following use of firstgeneration antihistamines. ? the secondgeneration antihistamines (cetirizine, famotidine, loratadine, acrivastine, and azelastine) are better to these patients. 3. Special sorts of urticaria It is remended to use drugs, which have antihistamine, antiserotonin and antiacetylcholine effects, like hydroxyzine and decloxizine is better to physical urticaria, cyproheptadine has good effect to cold urticaria and 6542 can always acts on cholinergic urticaria. Optical treatment It can be treated with calamine lotion or diphenhydramine emulsion. Attention Please! ? The definition of urticaria. ? The clinical manifestations and some special sorts of urticaria. ? The treatment of urticaria, especially how to deal with shock or laryngeal edema or dyspnea.