Anaphylaxis Management. Pic 1 Severe allergic reaction which led to anaphylaxis

Size: px
Start display at page:

Download "Anaphylaxis Management. Pic 1 Severe allergic reaction which led to anaphylaxis"

Transcription

1 1 Anaphylaxis Management Pic 1 Severe allergic reaction which led to anaphylaxis

2 What is an allergic reaction? 2 An allergy is when someone has a reaction to something (usually a protein) which is either ingested, inhaled, inject or placed on the skin Sometimes (in people who have allergies) the immune system gets mixed up and mistakes a harmless substance (ignored by most people s immune system) for something that may cause damage Results in an allergy

3 What is an allergic reaction? Substance that may cause an allergy = ALLERGEN In people with allergies ALLERGEN + antibodies (IgE) = i.e. Histamine It is the histamine that affects other tissues and cells in the body to cause the allergic symptoms 3

4 Symptoms of an Allergic Reaction Reaction may affect many organs of the body including: Skin Respiratory tract (nose, throat & lungs) Gastrointestinal system Cardiovascular system (blood vessels) 4

5 Symptoms of an Allergic Reaction Allergic symptoms may occur: 1. Locally i. i.e. large local swelling and redness may occur at the site of a bee sting 2. Generalised 1. Result in a generalised skin rash and/or affect organs in the body which have not directly been exposed to the allergen 5

6 Symptoms of an Allergic Reaction When a generalised allergic reaction affects the respiratory and/or cardiovascular system, this is then called anaphylaxis 6

7 7 Allergic Triggers

8 Allergic Triggers Inhaled Airborne Allergens Skin contact or inhalation of an airborne allergen can lead to symptoms of: Skin rash Swelling of the eyes Hay fever Wheeze Are not generally regarded as a trigger for anaphylaxis 8

9 Allergic Triggers 9 Food Allergens Any type of food can be a trigger Vas majority are triggered by: Egg * Cow s mil (dairy food) * Peanuts Tree nuts^ Soy Wheat Seeds Seafood ^ * = common in infants ^ = common in older children, adolescents and adults

10 Allergic Triggers Egg & dairy allergy frequently resolve with age Symptoms of food additives are commonly reported by parents but rarely trigger anaphylaxis 10

11 Insect Venom Allergic Triggers Stinging insects include bees, wasps and ants Being allergic to 1 insect venom does NOT mean that an allergy will occur to another 11

12 Allergic Triggers Medication Any medications, including natural and herbal products, may trigger an allergic reaction Antibiotics (usually penicillin) are the most common reported trigger for medication allergy Medications may trigger an allergic reaction at any age 12

13 Allergic Triggers Other Triggers Allergy to latex in rubber products (i.e. balloons or gloves) Exercise rarely triggers an allergic reaction 13

14 Statistics Food allergy affects: 1 in 100 children 1 in 30 infants A similar number of people are at risk of severe allergic reactions to stinging insects 14

15 Some allergies resolve with Age Food Most food allergies to dairy products, soy, wheat and egg will resolve with age People with severe allergic reactions to multiple foods are less likely to resolve with age Only 10-20% of people allergic to peanuts, tree nuts or seeds grow out of the allergy Seafood allergy is usually a life-long problem 15

16 Some allergies resolve with Age Insect Venom Most adults and some children with serious allergic reactions usually remain sensitive for many years Medication Usually life long allergy 16

17 Allergic Reactions & The Atopic Diseases Atopic Diseases include: Eczema - skin Hay fever - nose Asthma - lungs Conditions caused by an inappropriate inflammatory reaction in the body Allergic reactions to food, insect venom and medication may be more severe in individuals who have asthma compared with those individuals which do not have asthma 17

18 Anaphylaxis General definition Anaphylaxis is a generalised allergic reaction that: Has symptoms and/or signs that indicate that the respiratory (lungs) and/or cardiovascular (blood vessels) have been affected) Usually occurs soon after exposure to the allergen trigger, with progression of symptoms and signs Usually involves more than 1 body system, i.e. skin & lungs Anaphylaxis is the most severe form of an allergic reaction 18

19 Anaphylaxis Deaths from anaphylaxis are rare 19 Risk less than 1% Approximately 10 people die in Australia each year Very rare in children less than 5 years of age Recorded deaths from food allergy show: Most common in teenagers or young adults Have asthma Who DO NOT receive adrenaline soon after the onset of anaphylactic symptoms Recording of ALL symptoms and/or signs during a generalised allergic reaction is important

20 Recognition of Anaphylaxis Key Features of Anaphylaxis are: 1. A generalised allergic reaction with respiratory and/or cardiovascular involvement 2. Involvement of many parts of the body 3. Rapid onset and progression IT IS VERY IMPORTANT TO RECOGNISE THE SYMPTOMS & SIGNS OF AN ALLERGIC REACTION AND TO DETERMINE IF THIS HAS PROGRESSED TO ANAPHYLAXIS 20

21 Recognition of Anaphylaxis 1. A generalised allergic reaction with respiratory and/or cardiovascular involvement Allergic reactions may include the following symptoms, which may (a) precede the onset of anaphylaxis or (b) occur as part of reaction: Swelling of face, lips & eyes Congestion and watering of the nose and eyes Hives or welts on the skin Headaches, anxiety, flushing 21

22 Recognition of Anaphylaxis The following indicates that there is involvement of the lungs or blood vessels: 22 Difficulty/noisy breathing Swelling of tongue Swelling/tightness in throat Difficulty talking and/or hoarse voice Wheeze or presistent cough Chest tightness Abdominal pain, nausea and vomiting Confusion Pale and floppy (in young children)

23 Recognition of Anaphylaxis 2. Involvement of many parts of the body In addition to affecting respiratory and/or cardiovascular system, it almost always affect other organs in the body Skin (skin rash) Gastrointestinal system (usually with food triggers) Sudden collapse (due to low blood pressure) 3. Rapid onset and progression 23 Symptoms of anaphylaxis (as compared to an allergic reaction) develop rapidly It is rare for symptoms to be delayed for hours after exposure

24 First Aid Management of Anaphylaxis All anaphylaxis patients should have an action plan Example of an action plan can be found to the right 24

25 First Aid Management of Anaphylaxis If patient has been diagnosed with anaphylaxis and they have their OWN Epipen 1. Lay person flat, do not stand or walk. If breathing is difficult allow to sit 2. Give Epipen/Anapen 3. Phone Ambulance/Surfcom 4. Contact Family/emergency contact 5. Further adrenaline doses may be given if no response after 5 minutes (if patient has another adrenaline autoinjector) 25

26 First Aid Management of Anaphylaxis If NO EpiPen available or patient experiencing for First Time. 1. Seek emergency medical assistance (i.e. 000) 2. Lay the person flat and elevate the legs if the person (unless it makes breathing more difficult) is: dizzy, seems confused, OR has a reduced level of consciousness 3. Follow DRSABCD if there is no breathing and no response If oxygen is available give at high flow rate 26

27 First Aid Management of Anaphylaxis If allergic reaction is due to insect sting REMOVE stinger as soon as possible in the appropriate method i.e. Bee Sting flick sting away. DO NOT PICK STING OUT DO NOT REMOVE TICKS 27

28 First Aid Management of Anaphylaxis After an episode of anaphylaxis 28 Seek emergency medical help EVEN if the EpiPen relieves symptoms or symptoms resolve without any treatment Stay in medical care under continuous observation for 4-6 hours Document the circumstances of the reaction and include the following: The trigger, if known The symptoms that occurred The treatment administered including the use of the EpiPen Any other important information

29 Medication Information Adrenaline is the ONLY medication proven to reverse the symptoms of anaphylaxis Works rapidly to: Reduce throat swelling, Open the airways Maintain blood pressure Adrenaline must be injected and cannot be taken by mouth 29

30 Medication Information Risks & Side Effects of Adrenaline Palpitations (fast strong heartbeat) Tremor General pallor Blanching Benefits would always outweigh the side effects 30

31 Medication Information Adrenaline treatment of allergic reactions Remember NOT all allergic reactions are dangerous 31

32 Medication Information Use of other Medication Adrenaline is the most important drug to use Antihistamines, corticosteroids or asthma medication generally have no effect Oxygen should be given at high flow rtes to people having a severe reaction if available 32

33 Autoinjectors There are currently 3 types of autoinjectors being used as medication: General EpiPen & EpiPen Jr New-look EpiPen & EpiPen Jr Anapen & Anapen Jr The next few slides will describe how to operate each of the above 33

34 EpiPen Is a disposable, preloaded automatic injecting device that delivers 1 measured dose of adrenaline Device has a spring activated and concealed needle EpiPen Junior (150ug) 10-20kg child (aged 1-5 years generally) EpiPen (300ug) when weight exceeds 20kg If anaphylactic symptoms return after use of EpiPen, it may be necessary to give an additional EpiPen (if available) after 5-10 minutes if needed. 34

35 Administering of an EpiPen Remove the grey safety cap Hold the EpiPen (firmly) with the black tip against the thigh (do not cover the end of the EpiPen with your thumb!!) Apply moderate pressure and hold for 10 seconds (can be applied through clothing) Discard the unit safely Observe for relapse as severe symptoms may sometimes reoccur after apparent recovery 35

36 Other EpiPen Information EpiPen Storage Should be stored in a cool dark place at room temperature but NOT refrigerated Should be readily available and not in a locked cupboard EpiPen Expiry Shelf life is normally months An expired EpiPen SHOULD be used in preference to NOT using an EpiPen at all HOWEVER, only if the colour of the liquid is clear Disposal after use 36 Placed in a rigid sharps disposal unit, or if not available, another rigid container

37 37 How to give the new-look EpiPen

38 38 How to give the Anapen

39 Long Term Management of Anaphylaxis Principles of Long Term Management include: Identification of avoidable triggers Education on avoidance of triggers Risk Assessment of recurrent and severity Provision of an emergency anaphylaxis action plan Reassessment regularly by a specialist 39

40 40 Anaphylaxis Management -SUMMARY

41 Background Information An allergy is when someone has a reaction to something (usually a protein) which is either ingested, inhaled, inject or placed on the skin Symptoms of an allergic reaction may be local or general Anaphylaxis is the most sudden and severe form of generalised allergic reaction 41

42 Background Information (cont d) Food, medication and insect venom are the commonest severe allergic triggers Asthmatic individuals have more severe allergic reactions if they have an underlying food, medication or insect venom allergy Anaphylaxis is not uncommon, but death from anaphylaxis is very rare Death from anaphylaxis usually occurs in adolescents and adults who have asthma 42

43 Recognition of Anaphylaxis Key features of anaphylaxis are: 1. A generalised allergic reaction with respiratory and/or cardiovascular involvement 2. Involvement of many parts of the body 3. Rapid onset and progression 43

44 First Aid Management of Anaphylaxis 44 All individuals who have had a previous episode of anaphylaxis should have a first aid anaphylaxis action plan The most important treatment for anaphylaxis is adrenaline The EpiPen is an adrenaline auto injector device if this is prescribed it is essential to have an anaphylaxis action plan and to know how to use the EpiPen

45 Long Term Management of Anaphylaxis Avoidance of offending allergens is the key to prevention of anaphylactic reactions 45

46 REFERENCE LIST Picture 1 image from anaphylaxis australia website 46

LCS ALLERGIES AND ANAPHYLAXIS MANAGEMENT POLICY

LCS ALLERGIES AND ANAPHYLAXIS MANAGEMENT POLICY LCS ALLERGIES AND ANAPHYLAXIS MANAGEMENT POLICY Important Note A series of valuable discussion and information documents have been provided by Allergy and Anaphylaxis Australia and will be added as a booklet

More information

EMERGENCY TREATMENT OF ANAPHYLAXIS EPINEPHRINE AUTO-INJECTOR

EMERGENCY TREATMENT OF ANAPHYLAXIS EPINEPHRINE AUTO-INJECTOR I. GENERAL GUIDELINES EMERGENCY TREATMENT OF ANAPHYLAXIS EPINEPHRINE AUTO-INJECTOR A. PURPOSE To counteract a severe allergic reaction (anaphylaxis) to a foreign substance as prescribed by the licensed

More information

EpiPen Use. When should I use the EpiPen?

EpiPen Use. When should I use the EpiPen? What is an EpiPen? EpiPen is an emergency device that can inject adrenaline. It is used to treat severe allergic reactions (anaphylaxis). Adrenaline, (a naturally occurring hormone) reverses the severe

More information

Anaphylaxis Policy and Procedure

Anaphylaxis Policy and Procedure St Brigid s Catholic School Anaphylaxis Policy and Procedure These guidelines have been developed to assist the St Therese s Catholic School community in planning for and supporting students with severe

More information

Anaphylaxis before and after the emergency

Anaphylaxis before and after the emergency Anaphylaxis before and after the emergency Mike Levin Paediatric Asthma and Allergy Division University of Cape Town Red Cross Hospital michael.levin@uct.ac.za http://www.scah.uct.ac.za/scah/clinicalservices/medical/allergy

More information

Get Trained. A Program for School Nurses to Train School Staff in Epinephrine Administration

Get Trained. A Program for School Nurses to Train School Staff in Epinephrine Administration A Program for School Nurses to Train School Staff in Epinephrine Administration The Get Trained School Nursing Program was created through an unrestricted grant from Mylan Specialty. The Program is intended

More information

Aim To identify the signs and symptoms of anaphylaxis and provide emergency care.

Aim To identify the signs and symptoms of anaphylaxis and provide emergency care. Community Health Policies, Procedures and Guidelines Procedures Aim To identify the signs and symptoms of anaphylaxis and provide emergency care. Equipment Adrenaline autoinjectors: o EpiPen Jr or Anapen

More information

Anaphylaxis. Exceptional healthcare, personally delivered

Anaphylaxis. Exceptional healthcare, personally delivered Anaphylaxis Exceptional healthcare, personally delivered 2 Introduction Anaphylaxis (also known as anaphylactic shock) is a severe, potentially fatal allergic reaction. Anaphylaxis is caused by your body

More information

NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES

NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES NEW YORK STATE DEPARTMENT OF HEALTH BUREAU OF EMERGENCY MEDICAL SERVICES TRAINING PROGRAM OUTLINE FOR UNLICENSED OR UNCERTIFIED PERSONNEL TO ADMINISTER EPINEPHRINE BY AUTO-INJECTOR IN LIFE-THREATENING

More information

Adapted from the Ministry of Education BCSTA website. Interior Health

Adapted from the Ministry of Education BCSTA website. Interior Health Adapted from the Ministry of Education BCSTA website Interior Health July 2013 WHAT IS AN ALLERGY? Allergies occur when the immune system becomes unusually sensitive and overreacts to common substances

More information

Recognition and treatment of Anaphylaxis. Karen Phillips Resuscitation Officer

Recognition and treatment of Anaphylaxis. Karen Phillips Resuscitation Officer Recognition and treatment of Anaphylaxis Karen Phillips Resuscitation Officer Anaphylaxis - Aims & Objectives To raise awareness of the causes of Anaphylaxis To recognise the signs & symptoms of an Anaphylactic

More information

Anaphylaxis - severe allergic reaction

Anaphylaxis - severe allergic reaction Anaphylaxis - severe allergic reaction Summary Anaphylaxis is the most severe allergic reaction and is a medical emergency. An injection of adrenaline is needed to treat the allergic reaction. The most

More information

Policy: Anaphylaxis PURPOSE. Rationale. Procedure

Policy: Anaphylaxis PURPOSE. Rationale. Procedure Policy: Rev Oct 14 PURPOSE (PCCC) is committed to the safety, wellbeing and inclusion of all children enrolled in its services. PCCC will ensure all staff involved in the delivery of services to children

More information

Adrenaline autoinjector (EpiPen) for acute allergic anaphylaxis

Adrenaline autoinjector (EpiPen) for acute allergic anaphylaxis for acute allergic anaphylaxis This review of adrenaline autoinjector was first published in December 2003. This update describes the change to the PBS listing to allow prescribing immediately after hospital

More information

EpiPen Review For Teachers/Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT

EpiPen Review For Teachers/Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT EpiPen Review For Teachers/Staff CONCORD PUBLIC SCHOOLS CONCORD-CARLISLE REGIONAL SCHOOL DISTRICT Objectives: Recognize early signs of an allergic reaction State immediate and safe response Administer

More information

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised:

BROCKTON AREA MULTI-SERVICES, INC. MEDICAL PROCEDURE GUIDE. Date(s) Reviewed/Revised: Page 1 of 5 PROCEDURE FOR: MAP-certified staff and RN/LPN MAP-certified staff are to be trained in the use of epinephrine administration via pre-filled autoinjector devices(s) annually. Certified staff

More information

SCARBOROUGH COLLEGE MANAGEMENT OF ANAPHYLAXIS POLICY

SCARBOROUGH COLLEGE MANAGEMENT OF ANAPHYLAXIS POLICY SCARBOROUGH COLLEGE MANAGEMENT OF ANAPHYLAXIS POLICY This policy has been written in line with information provided by the Anaphylaxis Campaign, the Department for Children, Families and Schools and the

More information

Guidelines for anaphylaxis emergency medication (adrenaline [epinephrine] autoinjector) prescription

Guidelines for anaphylaxis emergency medication (adrenaline [epinephrine] autoinjector) prescription Guidelines for anaphylaxis emergency medication (adrenaline [epinephrine] autoinjector) prescription Introduction The aim of these guidelines is to outline the appropriate prescription of adrenaline (epinephrine)

More information

It is recommended that auto-injector device trainers of each type be available for practice

It is recommended that auto-injector device trainers of each type be available for practice NASN Get Trained- PA Edition Script A Program for School Nurses to Train School Staff in Epinephrine Administration The Get Trained School Nursing Program was created through an unrestricted grant from

More information

Epinephrine Administration Training for Unlicensed School Personnel

Epinephrine Administration Training for Unlicensed School Personnel Epinephrine Administration Training for Unlicensed School Personnel Management of Life-Threatening Allergies in the School Setting Dover and Sherborn Schools EpiPen Administration This program is designed

More information

Annual Epinephrine Training Program for Connecticut s Unlicensed School Personnel

Annual Epinephrine Training Program for Connecticut s Unlicensed School Personnel Annual Epinephrine Training Program for Connecticut s Unlicensed School Personnel Developed by the Connecticut State Departments of Education and Public Health in consultation with the Connecticut School

More information

Section I New Policy with copy of updated Epipen Order, and protocol. Section II Anaphylaxis Management Algorithm

Section I New Policy with copy of updated Epipen Order, and protocol. Section II Anaphylaxis Management Algorithm Anaphylaxis Policy Contents Section I New Policy with copy of updated Epipen Order, and protocol Section II Anaphylaxis Management Algorithm Section III Demonstration of Epipen use for all staff members

More information

St Mark s Anglican Community School

St Mark s Anglican Community School St Mark s Anglican Community School Allergy Awareness Policy Peanut & Nut Allergy and Anaphylaxis Rationale In most schools some children are anaphylactic. St Mark s Anglican Community School is committed

More information

ALLERGIC REACTIONS. Mary Horvath RN, CSN. M.Ed. Certified School Nurse Bridge Valley Elementary Doyle Elementary

ALLERGIC REACTIONS. Mary Horvath RN, CSN. M.Ed. Certified School Nurse Bridge Valley Elementary Doyle Elementary ALLERGIC REACTIONS Mary Horvath RN, CSN. M.Ed. Certified School Nurse Bridge Valley Elementary Doyle Elementary STATISTICS Allergic reactions affect up to 15 million people in the United States, including

More information

Immunology, J Allergy Clinical Immunology 1998; Vol.102, No. 2, 173-175.

Immunology, J Allergy Clinical Immunology 1998; Vol.102, No. 2, 173-175. DATA HEALTH BRIEF: EPINEPHRINE ADMINISTRATION IN SCHOOLS Massachusetts Department of Public Health Bureau of Community Health Access and Promotion School Health Unit August 1, 21 July 31, 211 (School Year

More information

CHAPTER 20. Allergic Reactions. Limmer et al., Emergency Care Update, 10th Edition 2007 by Pearson Education, Inc. Upper Saddle River, NJ

CHAPTER 20. Allergic Reactions. Limmer et al., Emergency Care Update, 10th Edition 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 20 Allergic Reactions Allergic Reactions Key Term Allergic Reaction An exaggerated reaction by the body s immune system to any substance Key Term Anaphylaxis A life-threatening allergic reaction

More information

CHAPTER 21 QUIZ. Handout 21-1. Write the letter of the best answer in the space provided.

CHAPTER 21 QUIZ. Handout 21-1. Write the letter of the best answer in the space provided. Handout 21-1 QUIZ Write the letter of the best answer in the space provided. 1. A severe form of allergic reaction is called A. an allergen. C. epinephrine. B. anaphylaxis. D. an immune reaction. 2. Harmless

More information

Anaphylaxis: a severe, life threatening allergic reaction usually involving swelling, trouble breathing, and can progress to shock

Anaphylaxis: a severe, life threatening allergic reaction usually involving swelling, trouble breathing, and can progress to shock Allergy is a condition in which the immune system causes sneezing, itching, rashes, and wheezing, or sometimes even life-threatening allergic reactions. The more you know about allergies, the better prepared

More information

The administration of epinephrine for severe anaphylactic type allergic reactions. Training for Québec first aiders 2008

The administration of epinephrine for severe anaphylactic type allergic reactions. Training for Québec first aiders 2008 The administration of epinephrine for severe anaphylactic type allergic reactions Training for Québec first aiders 2008 2 Acknowledgements AQAA St-John Ambulance Canadian Red Cross CSST Québec Heart and

More information

Brewton City Schools Anaphylaxis Preparedness Guidelines

Brewton City Schools Anaphylaxis Preparedness Guidelines Brewton City Schools Anaphylaxis Preparedness Guidelines Background In response to Act#2014-405 by the Alabama Legislature, the Brewton City School System recognizes the growing concern with severe life-threatening

More information

ALLERGY AWARENESS POLICY

ALLERGY AWARENESS POLICY ALLERGY AWARENESS POLICY 1. RATIONALE In most schools some children are anaphylactic. St Hilda s is committed to providing a safe and healthy environment for students. We have adopted an allergy awareness

More information

Administering epinephrine for acute anaphylactic type allergic reactions

Administering epinephrine for acute anaphylactic type allergic reactions Administering epinephrine for acute anaphylactic type allergic reactions Training for first aiders in schools People known to be allergic (1.5 hours) MAJ-2013-2 2 Goal of program Reduce the morbidity and

More information

Section 400: Code # 453.4R

Section 400: Code # 453.4R Section 400: Code # 453.4R Administering Medication Conditions for Administering Prescription Drugs Except as otherwise specifically provided by law, a school bus driver, employee, or volunteer that has

More information

6/14/14. Allergic Reactions. Topics. Body s Reaction to Allergen. Allergic Reactions. Allergic Reactions

6/14/14. Allergic Reactions. Topics. Body s Reaction to Allergen. Allergic Reactions. Allergic Reactions CORE CONCEPTS Allergic Reactions Session 12! How to identify a patient experiencing an allergic reaction! Differences between a mild allergic reaction and anaphylaxis! How to treat a patient experiencing

More information

STOCK EPINEPHRINE POLICY AND PROCEDURE

STOCK EPINEPHRINE POLICY AND PROCEDURE Policy #715 STOCK EPINEPHRINE POLICY AND PROCEDURE Overview Anaphylaxis is a severe systemic allergic reaction from exposure to allergens that is rapid in onset and can cause death. Common allergens include

More information

BSTA Anaphylaxis /Stock Epinephrine Policy

BSTA Anaphylaxis /Stock Epinephrine Policy BSTA Anaphylaxis /Stock Epinephrine Policy (Severe Allergic Reaction) It is the policy of Beehive Science and Technology Academy to provide at least two (2) doses of auto- injectable epinephrine (hereinafter

More information

Managing Life-Threatening Allergies in School. Prepared by the Hanover Public Schools Health Services Department March 18, 2010

Managing Life-Threatening Allergies in School. Prepared by the Hanover Public Schools Health Services Department March 18, 2010 Managing Life-Threatening Allergies in School Prepared by the Hanover Public Schools Health Services Department March 18, 2010 Goals of the Presentation To understand the significance of life threatening

More information

Anaphylaxis and other adverse events

Anaphylaxis and other adverse events Anaphylaxis and other adverse events Aim: To be able to manage anaphylaxis and other adverse events correctly Learning outcomes Define local and systemic adverse events Distinguish between anaphylaxis

More information

Anaphylaxis and Epinephrine Auto-Injector

Anaphylaxis and Epinephrine Auto-Injector Lesson Guide Anaphylaxis and Epinephrine Auto-Injector Lesson Length: 45 minutes Guidance for the Instructor To complete this lesson and meet the lesson objectives, you must: Welcome participants and explain

More information

Glossary of Terms. Section Glossary. of Terms

Glossary of Terms. Section Glossary. of Terms Glossary of Terms Section Glossary of Terms GLOSSARY Acute: Symptoms which can occur suddenly with a short and severe course. Adrenaclick /Generic Adrenaclick : a single use epinephrine auto-injector that

More information

Chapter 22 - Allergic_Reaction

Chapter 22 - Allergic_Reaction Introduction to Emergency Medical Care 1 OBJECTIVES 22.1 Define key terms introduced in this chapter. Slides 10, 14, 19, 37, 39 22.2 Differentiate between the signs and symptoms of an allergic reaction

More information

ANAPHYLAXIS Resource Information and Lesson Plan Grades 1-3. Anaphylaxis Canada

ANAPHYLAXIS Resource Information and Lesson Plan Grades 1-3. Anaphylaxis Canada ANAPHYLAXIS Resource Information and Lesson Plan Grades 1-3 Anaphylaxis Canada Anaphylaxis Canada is dedicated to enabling its members to live safely with life-threatening allergies by sharing information,

More information

LIFE-THREATENING ALLERGIES POLICY

LIFE-THREATENING ALLERGIES POLICY CODE: C.012 Program LIFE-THREATENING ALLERGIES POLICY CONTENTS 1.0 PRINCIPLES 2.0 POLICY FRAMEWORK 3.0 AUTHORIZATION 1.0 PRINCIPLES 1.1 Halifax Regional School Board will maximize the safety of students

More information

Anaphylaxis and Epinephrine Auto-Injector

Anaphylaxis and Epinephrine Auto-Injector Lesson Guide Anaphylaxis and Epinephrine Auto-Injector Lesson Length: 45 minutes Guidance for the Instructor To complete this lesson and meet the lesson objectives, you must: Welcome participants and explain

More information

MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINES

MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINES Department of Health and Mental Hygiene Maryland State Department of Education Maryland State School Health Council MARYLAND STATE SCHOOL HEALTH SERVICES GUIDELINES Emergency Management Guidelines for

More information

Overview. Assessment of Allergic Reactions. Chapter 21. Allergic Reactions 9/11/2012. Assessment of Allergic Reactions

Overview. Assessment of Allergic Reactions. Chapter 21. Allergic Reactions 9/11/2012. Assessment of Allergic Reactions Chapter 21 Allergic Reactions Slide 1 Overview Causes of Allergic Reactions Signs and Symptoms of Allergic Reactions Emergency Care for Patients with Allergic Reactions Airway Management Administration

More information

All About Anaphylaxis: Understanding the Risks, Symptoms & Treatment

All About Anaphylaxis: Understanding the Risks, Symptoms & Treatment All About Anaphylaxis: Understanding the Risks, Symptoms & Treatment Robert A. Wood, MD Professor of Pediatrics and International Health Director, Pediatric Allergy and Immunology Johns Hopkins University

More information

Protocol and Procedures for the Emergency Administration of Epinephrine

Protocol and Procedures for the Emergency Administration of Epinephrine M a r i n C o u n t y O f f i c e o f E d u c a t i o n 1111 Las Gallinas Avenue San Rafael California 94903 415-472-4110 Fax: 415-491-6625 www.marinschools.org School District: Protocol and Procedures

More information

1. Initial Diagnosis of Food Allergy 2. When to Refer 3. Ongoing Management and Community Based Care of Food Allergy

1. Initial Diagnosis of Food Allergy 2. When to Refer 3. Ongoing Management and Community Based Care of Food Allergy Referral to be faxed to Specialist Clinics F +61 3 9345 5034 Appointment enquiries T +61 3 9345 6180 Allergy & Immunology The Royal Children s Hospital Melbourne 50 Flemington Road, Parkville Victoria

More information

See, Think, and Act! Anaphylaxis (Severe Allergies)

See, Think, and Act! Anaphylaxis (Severe Allergies) See, Think, and Act! Anaphylaxis (Severe Allergies) California After School Resource Center (CASRC) Administered for the California Department of Education (C.D.E.) Hello. My name is Robyn Sakamoto. Welcome

More information

This annual data report demonstrates findings consistent with previous reports:

This annual data report demonstrates findings consistent with previous reports: DATA HEALTH BRIEF: EPINEPHRINE ADMINISTRATION IN SCHOOLS Massachusetts Department of Public Health Bureau of Community Health Access and Promotion School Health Unit August 1, 29 July 31, 21 (School Year

More information

1 What Anapen is and what it is used for?

1 What Anapen is and what it is used for? PACKAGE LEAFLET: INFORMATION FOR THE USER Anapen 500 micrograms in 0.3 ml solution for injection (pre-filled syringe) Adrenaline (Epinephrine) Auto-Injector Read all of this leaflet carefully before you

More information

Insect and Animal Allergens. Stinging Insect Allergy. A Patient s Guide

Insect and Animal Allergens. Stinging Insect Allergy. A Patient s Guide Insect and Animal Allergens Stinging Insect Allergy A Patient s Guide Stinging insect allergy can cause severe and sometimes life-threatening reactions. Each year, many people are stung by insects such

More information

Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy

Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy Management of an anaphylactic reaction to Omalizumab (Xolair) drug therapy Turnberg Building Respiratory Medicine 0161 206 3158 All Rights Reserved 2014. Document for issue as handout. What is an allergic

More information

EMERGENCY EPINEPHRINE AUTO-INJECTOR DEVICES Policy Code: 5024/6127/7266

EMERGENCY EPINEPHRINE AUTO-INJECTOR DEVICES Policy Code: 5024/6127/7266 EMERGENCY EPINEPHRINE AUTO-INJECTOR DEVICES Policy Code: 5024/6127/7266 Anaphylaxis is a severe systemic allergic reaction from exposure to allergens that is rapid in onset and can cause death. Many severe

More information

Food Allergy Jeopardy

Food Allergy Jeopardy Food Allergy : Game Instructions NEEDS Two people to run the game - One will be the host who asks the questions. Another will keep a record of participant scores. Both can hand out information booklets

More information

1. Dosing Schedule: your customized schedule of your weekly injections as provided by the center.

1. Dosing Schedule: your customized schedule of your weekly injections as provided by the center. Home Immunotherapy Raza Pasha, MD Congratulations. You are now on the path to better control of your allergies. The following is your instruction guide to allow you to become more familiar with proper

More information

R 5331 MANAGEMENT OF LIFE-THREATENING ALLERGIES IN SCHOOLS

R 5331 MANAGEMENT OF LIFE-THREATENING ALLERGIES IN SCHOOLS R 5331/page 1 of 8 A. Definitions R 5331 MANAGEMENT OF LIFE-THREATENING ALLERGIES IN SCHOOLS 1. Anaphylaxis - A serious allergic reaction that is rapid in onset and may cause death. Anaphylaxis is a rapid,

More information

Our Lady of Lourdes National School, Bunclody. Nut Safe and Allergy Awareness Policy

Our Lady of Lourdes National School, Bunclody. Nut Safe and Allergy Awareness Policy Our Lady of Lourdes National School, Bunclody Nut Safe and Allergy Awareness Policy Overview This policy is concerned with a whole school approach to the health care management of those members of the

More information

Emergency treatment of anaphylactic reactions

Emergency treatment of anaphylactic reactions Emergency treatment of anaphylactic reactions Emergency treatment of anaphylactic reactions Objectives - to understand: What is anaphylaxis? Who gets anaphylaxis? What causes anaphylaxis? How to recognise

More information

Anaphylaxis: A Life Threatening Allergic Reaction

Anaphylaxis: A Life Threatening Allergic Reaction Anaphylaxis: A Life Threatening Allergic Reaction What is Anaphylaxis? Anaphylaxis is a sudden, severe, and potentially fatal allergic reaction that can cause a wide range of symptoms, including breathing

More information

Treatments for allergy are usually straightforward, safe and effective. Common treatments include:

Treatments for allergy are usually straightforward, safe and effective. Common treatments include: Allergy Medications The treatments prescribed for allergy control the symptoms and reactions; they do not cure the condition. However, using treatments as prescribed can show a huge change in a patient

More information

Recognition and Treatment of Anaphylaxis in the School Setting

Recognition and Treatment of Anaphylaxis in the School Setting Recognition and Treatment of Anaphylaxis in the School Setting Authorization Code of Virginia 54.1-3408. Professional use by practitioners. 2. That the Department of Health, in conjunction with the Department

More information

Food Allergy in Babies and Children

Food Allergy in Babies and Children Food Allergy in Babies and Children Almost 1 in 12 young children suffer from a food allergy and they seem to be getting more and more common but what are food allergies, would you be able to recognise

More information

ANAPHYLAXIS. Introduction. Differential Diagnosis. Starship Children s Health Clinical Guideline

ANAPHYLAXIS. Introduction. Differential Diagnosis. Starship Children s Health Clinical Guideline Introduction Differential Diagnosis Management Treatment of Anaphylaxis (Flow Chart) Disposition from Emergency Department Adrenaline Autoinjectors Action Plan Adrenaline Autoinjector Information Sheet

More information

Aquarium of the Pacific Food Allergy and Anaphylaxis Protocol

Aquarium of the Pacific Food Allergy and Anaphylaxis Protocol Aquarium of the Pacific Food Allergy and Anaphylaxis Protocol Purpose Statement: The Aquarium of the Pacific recognizes the increasing prevalence of allergies in children, including many life threatening

More information

1. INTRODUCTION AND INSTRUCTIONS

1. INTRODUCTION AND INSTRUCTIONS 1. INTRODUCTION AND INSTRUCTIONS Dear School Nurse, The revised Regulations Governing the Administration of Prescription Medications in Public and Private Schools (105 CMR 210.000) require schools to submit

More information

Allergy Action Plan For the 2015-2016 School Year

Allergy Action Plan For the 2015-2016 School Year Allergy Action Plan Student s Name: DOB Grade ALLERGY TO: Asthmatic: Yes*[ ] No [ ] *Higher risk for severe reaction! STEP 1 TREATMENT Symptoms: Give checked medication To be determined by physician authorizing

More information

Food allergy and intolerance

Food allergy and intolerance Food allergy and intolerance Summary A food allergy occurs when the immune system reacts to a harmless food. Food intolerance occurs when the body has a chemical reaction to eating a particular food or

More information

severe allergic reactions

severe allergic reactions severe allergic reactions Interim Anaphylaxis Guidelines for Queensland Schools Queensland the Smart State Acknowledgments Education Queensland wishes to thank and acknowledge the contribution of the following

More information

Guidelines for the Management of Children with Peanut or Tree Nut Allergies in the School Setting

Guidelines for the Management of Children with Peanut or Tree Nut Allergies in the School Setting Guidelines for the Management of Children with Peanut or Tree Nut Allergies in the School Setting Policy Statement: The Risk of Accidental Exposure to allergy inducing foods can be reduced in the school

More information

OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector

OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector OPTIONAL LESSON Anaphylaxis and Epinephrine Auto-Injector Lesson Length: 54 minutes GUIDANCE FOR THE INSTRUCTOR To complete this lesson and meet the lesson objectives, you must: Discuss all points in the

More information

Allergic Reactions and the use of an Epi-Pen

Allergic Reactions and the use of an Epi-Pen Allergic Reactions and the use of an Epi-Pen Goals Define the terms: Allergen, Allergic Reaction, Anaphylaxis, Epinephrine and Auto-injector Understand what an allergic reaction is, its effects on the

More information

ANAPHYLAXIS GUIDELINES FOR EARLY CHILDHOOD EDUCATION AND CARE SERVICES

ANAPHYLAXIS GUIDELINES FOR EARLY CHILDHOOD EDUCATION AND CARE SERVICES August 2014 ANAPHYLAXIS GUIDELINES FOR EARLY CHILDHOOD EDUCATION AND CARE SERVICES NSW DEPARTMENT OF EDUCATION AND COMMUNITIES Foreword These guidelines for early childhood education and care services

More information

PARENT/GUARDIAN REQUEST: ADMINISTRATION OF EMERGENCY EPINEPHRINE, ANAPHYLAXIS CARE PLAN/ IHP & IEHP

PARENT/GUARDIAN REQUEST: ADMINISTRATION OF EMERGENCY EPINEPHRINE, ANAPHYLAXIS CARE PLAN/ IHP & IEHP IEF Elementary School 105 Andrew Street, Green Brook, N.J. 08812 School Nurse: Mrs. Ostrander Office Phone: 732-9681052 ext. # 3 Fax: 732-968-0791 Green Brook Township Public Schools Green Brook Middle

More information

Title 14 of the Code of Federal Regulations (14 CFR) part 121, subpart N and subpart X.

Title 14 of the Code of Federal Regulations (14 CFR) part 121, subpart N and subpart X. Subject: MANAGEMENT OF PASSENGERS WHO MAY BE SENSITIVE TO ALLERGENS 1. What is the purpose of this Advisory Circular (AC)? Date: 12/31/02 Initiated by: AFS-200 AC No: 121-36 Change: This AC provides guidance

More information

Food Allergies and. Food allergies and the immune system. Food allergies and the immune system

Food Allergies and. Food allergies and the immune system. Food allergies and the immune system Food Allergies and Intolerances Food allergies and the immune system Food allergies and True allergies involve an adverse reaction/ response by the body s immune system to a usually harmless substance

More information

Food Allergies and Anaphylaxis in School: What School Staff Need to Know

Food Allergies and Anaphylaxis in School: What School Staff Need to Know Food Allergies and Anaphylaxis in School: What School Staff Need to Know What is an Allergy? When the body s immune system wrongly identifies an otherwise harmless substance (an allergen) as harmful. What

More information

STUDENTS REGULATION BOARD OF TRUSTEES CHURCHILL COUNTY SCHOOL DISTRICT AUTO-INJECTABLE EPINEPHRINE

STUDENTS REGULATION BOARD OF TRUSTEES CHURCHILL COUNTY SCHOOL DISTRICT AUTO-INJECTABLE EPINEPHRINE STUDENTS REGULATION 5151.0 Scope BOARD OF TRUSTEES CHURCHILL COUNTY SCHOOL DISTRICT AUTO-INJECTABLE This procedure describes the process in which Student Health Services implements the mandates of Nevada

More information

EpiPen Administration

EpiPen Administration EpiPen Administration You may feel like this now But after this program, you ll feel like this Your objectives are: Accurately recognize student-specific warning signs of allergic emergency Accurately

More information

EVERYTHING YOU WANTED TO KNOW ABOUT ALLERGIES

EVERYTHING YOU WANTED TO KNOW ABOUT ALLERGIES EVERYTHING YOU WANTED TO KNOW ABOUT ALLERGIES I. ABOUT ALLERGIES A. What is an allergy? Allergies are hypersensitivity reactions of the body s immune system to specific substances we come in contact with

More information

EL DORADO COUNTY EMS AGENCY Prehospital Protocol Reference Guide ALLERGIC REACTION

EL DORADO COUNTY EMS AGENCY Prehospital Protocol Reference Guide ALLERGIC REACTION Background: An allergic reaction is your body's response to a perceived invader, called an allergen. When the body senses a foreign substance the immune system is triggered. The immune system normally

More information

Hay Fever , The Patient Education Institute, Inc. imf30101 Last reviewed: 06/27/2013 1

Hay Fever , The Patient Education Institute, Inc.  imf30101 Last reviewed: 06/27/2013 1 Hay Fever Introduction Hay fever is another name for a pollen allergy. Trees, weeds and grasses release tiny pollen grains into the air. When pollen gets into your nose and throat, it can cause an allergic

More information

Pre-Course Work. Anaphylaxis. Course: 22099VIC - Course in First Aid Management of Anaphylaxis.

Pre-Course Work. Anaphylaxis. Course: 22099VIC - Course in First Aid Management of Anaphylaxis. Anaphylaxis Pre-Course Work Course: 22099VIC - Course in First Aid Management of Anaphylaxis. Instructions for use Please ensure that you read all of the information contained in this booklet and complete

More information

Sample Rhode Island School Food Allergy Policy

Sample Rhode Island School Food Allergy Policy Sample Rhode Island School Food Allergy Policy Intent [DISTRICT] is committed to the safety and health of all students and employees. In accordance with this and pursuant to Rhode Island General Laws 16-21-31

More information

trust clinical guideline

trust clinical guideline CG04 VERSION 1.0 1/5 Guideline ID CG04 Version 1.0 Title Approved by Allergic Reactions Clinical Effectiveness Group Date Issued 01/01/2013 Review Date 31/12/2016 Directorate Authorised Staff Clinical

More information

Food Allergy Action Plan

Food Allergy Action Plan Food Allergy Action Plan Name: D.O.B.: / / Allergy to: Weight: lbs. Asthma: Yes (higher risk for a severe reaction) No Place Student s Picture Here Extremely reactive to the following foods: THEREFORE:

More information

Anaphylaxis Prevention & Management Plan

Anaphylaxis Prevention & Management Plan Anaphylaxis Prevention & Management Plan A Copy of The Anaphylaxis Prevention and Management Plan is kept: 1. School Office in the Anaphylaxis kit. 2. School Portal. 3. Public Drive (Teachers) 4. In teachers

More information

Anaphylaxis: Treatment in the Community

Anaphylaxis: Treatment in the Community : Treatment in the Community is likely if a patient who, within minutes of exposure to a trigger (allergen), develops a sudden illness with rapidly progressing skin changes and life-threatening airway

More information

Food allergy /anaphylaxis

Food allergy /anaphylaxis Food allergy /anaphylaxis A food allergy or hypersensitivity is an abnormal response to a food that is triggered by the immune system. Allergic reactions are often mild, but can be sometimes very dangerous.

More information

_X New Replacement for: Date Reviewed: Date Revised: Implementation: CPIC Approved: Board Approved: Responsible Party:

_X New Replacement for: Date Reviewed: Date Revised: Implementation: CPIC Approved: Board Approved: Responsible Party: DEFINITIONS: POLICY & PROCEDURE TITLE: ALLERGY SHOTS (IMMUNOTHERAPY) Scope/Purpose: To provide guidelines to ensure safe administration of immunotherapy agents. Division/Department: All Clinics Policy/Procedure

More information

lips, tongue, or mouth swelling diarrhea or vomiting hives itchy red skin (especially if a child already has eczema).

lips, tongue, or mouth swelling diarrhea or vomiting hives itchy red skin (especially if a child already has eczema). Food Allergies What are food allergies? A food allergy is when the body's immune system reacts as if a certain food is harmful. Food allergies tend to be overdiagnosed, but about 5% of children have true

More information

Clinical Performance Director of Nursing Allison Bussey

Clinical Performance Director of Nursing Allison Bussey PGD 0314 Patient Group Direction Administration of Adrenaline (Epinephrine) 1:1000 (1mg/ml) Injection By Registered Nurses employed by South Staffordshire & Shropshire Healthcare Foundation NHS Trust This

More information

Managing Food Allergies in Mississippi Schools. Guidelines

Managing Food Allergies in Mississippi Schools. Guidelines Managing Food Allergies in Mississippi Schools Guidelines Table of Contents Introduction 1 Overview 2 Existing Legislation/Guidelines 3 Responsibilities 3 Suggested Roles of School Personnel 5 Education

More information

A ragweed pollen as a treatment for a ragweed allergy? It s called immunotherapy.

A ragweed pollen as a treatment for a ragweed allergy? It s called immunotherapy. A ragweed pollen as a treatment for a ragweed allergy? It s called immunotherapy. RAGWITEK is a prescription medicine used for sublingual (under the tongue) immunotherapy to treat ragweed pollen allergies

More information

EPINEPHRINE AUTO-INJECTOR TRAINING MODULE Pennsylvania Department of Health Prepared by Debra I. Stoner, M.D., F ACEP

EPINEPHRINE AUTO-INJECTOR TRAINING MODULE Pennsylvania Department of Health Prepared by Debra I. Stoner, M.D., F ACEP EPINEPHRINE AUTO-INJECTOR TRAINING MODULE Pennsylvania Department of Health Prepared by Debra I. Stoner, M.D., F ACEP This is a general outline for the basic EMT or continuing education training on the

More information

Withycombe Raleigh C of E Primary School Administering Medication in Schools 2015

Withycombe Raleigh C of E Primary School Administering Medication in Schools 2015 K.Lee - 2009 Revised August 2012/Sept 2013/July 2014 Latest Review July 2015 Withycombe Raleigh C of E Primary School Administering Medication in Schools 2015 At Withycombe Raleigh Church of England Primary

More information

Guidelines for Anaphylaxis Management in Schools

Guidelines for Anaphylaxis Management in Schools Guidelines for Anaphylaxis Management in Schools Department of Education and Early Childhood Development Government of Newfoundland and Labrador Guidelines for Anaphylaxis Management in Schools 2 Gove

More information

PRIMARY CARE PRACTICE GUIDELINES

PRIMARY CARE PRACTICE GUIDELINES 1 of 6 1. OUTCOME To identify anaphylaxis in the primary care setting and provide an evidence informed emergency response utilizing the most current provincial and federal practice guidelines. 2. DEFINITIONS

More information

Position Statement. Anaphylaxis in schools and other child-care settings August 1998 AAAAI Board of Directors

Position Statement. Anaphylaxis in schools and other child-care settings August 1998 AAAAI Board of Directors Position Statement Anaphylaxis in schools and other child-care settings August 1998 AAAAI Board of Directors AAAAI Position Statements and Work Group Reports are not to be considered to reflect current

More information