The reaction is termed anaphylaxis if there are life-threatening features such as respiratory difficulties and/or hypotension.
|
|
- Francis Richardson
- 7 years ago
- Views:
Transcription
1 HYPERSENSITIVITY AND ANAPHYLACTIC REACTIONS DURING AND AFTER TREATMENT WITH CHEMOTHERAPY- CLINICAL GUIDELINE FOR RECOGNITION AND TREATMENT. 1. Aim/Purpose of this Guideline 1.1. The aim of this document is to ensure the prompt recognition and treatment of hypersensitivity reactions (HSR) or an anaphylactic reaction during or after treatment with chemotherapy/drug administration. Hospital staff should be trained to follow the algorithm set out by the Resuscitation Council (UK) for assessment and treatment of anaphylais see page 5. The only drugs that may be given without a prescription are those administered for the purpose of saving a life in an emergency adrenaline, chlorphenamine and hydrocortisone. All drugs administered in an emergency must be prescribed subsequent to the event. 2. The Guidance 2.1. HYPERSENSITIVITY REACTIONS Chemotherapy induced HSRs are primarily type I, IgE mediated allergic reactions. However chemotherapy and monoclonal antibody agents may cause infusion reactions via type II or type IV mechanisms which do not involve activation of IgE antibodies. The term infusion reaction is used to describe any type of allergic reaction occurring during drug administration. Drugs can cause reactions due to the chemical nature of the drug, protein component, or ecipients used in formulations. Clinical features of HSR. Localised erythema at the site of injection. Systemic reaction - usually rapid onset but may be delayed for up to 30 minutes. A reaction may include: - Feelings of aniety, uneasiness. A sense of impending doom may be the first indication of adverse reaction. - Skin changes eg Flushing, erythema, urticaria, itching of lips,mouth.. - Angioedema eg swelling of eyelids, lips - Nausea, abdominal cramps - Hypotension, dizziness, tachycardia and vasodilation - Bronchospasm and angioedema causing wheezing, dyspnoea, stridor and cyanosis. The reaction is termed anaphylais if there are life-threatening features such as respiratory difficulties and/or hypotension PREVENTION OF HYPERSENSITIVITY REACTIONS. Page 1 of 9
2 Check the patient s history with regard to previous drug allergies and sensitivities. Any drug allergies and sensitivities or other drug precautions should be clearly documented on the patient s current drug chart. If a premedication is required ensure that it is prescribed. Administer drug at the correct rate and dilution. This should be clear on the prescription. If in doubt discuss with Pharmacist MANAGEMENT OF MILD HYPERSENSITIVITY REACTIONS. Management of HSR with localised urticaria. stop infusion and inform medical staff. ensure that 0.9%saline is running through a new/separate giving set monitor patient for signs of systemic reaction. If there is no evidence of systemic reaction restart the infusion. If any localised erythema is thought to be etravasation refer to etravastion policy. continue to monitor patient. Document in medical/nursing notes Do not continue the infusion if there is any concern Management of HSR with systemic reactions. A rational ABCDE approach should be adopted when recognising and treating any acutely ill patient. Life-threatening problems must be treated as they are recognised. stop infusion call medical staff obtain observations ensure that 0.9%saline is running through a new/separate giving set continue to monitor until patient stable if improvement, refer to instructions for specific drugs where available and discuss restarting infusion with medical staff if appropriate. if no improvement or condition becomes worse, commence basic resuscitation and administer hydrocortisone and chlorphenamine IV. document in medical/nursing notes ANAPHYLACTIC REACTIONS. Anaphylais is a severe, life-threatening, generalised or systemic hypersensitivity reaction. A diagnosis of an anaphylactic reaction is likely if a patient who is eposed to a trigger develops a sudden illness (usually within minutes of eposure) with rapidly progressing skin changes and life-threatening airway and/or breathing and/or circulation problems. The term anaphylais is commonly used for hypersensitivity reactions typically mediated by Ig E. Anaphylactoid reactions are similar but do not depend upon hypersensitivity. For the purposes of this guideline both types of reaction will be grouped together. Page 2 of 9
3 2.6. Clinical features of anaphylais. Reactions vary in severity and progress may be rapid, slow or biphasic. Symptoms and signs in allergic reaction -from APLS guidelines symptoms signs Mild Burning sensation in mouth Itching of lips, mouth, throat Feeling of warmth Nausea Abdominal pain Moderate (Mild +) Severe (Moderate +) Coughing/wheezing Loose bowel motions Sweating irritability Difficulty in breathing Collapse Vomiting Uncontrolled defecation Urticarial rash Angioedema conjunctivitis Bronchospasm Tachycardia Pallor Severe bronchospasm Laryngeal spasm Shock Respiratory arrest Cardiac arrest 2.7. EMERGENCY TREATMENT OF ANAPHYLAXIS. A rational ABCDE approach should be adopted when recognising and treating any acutely ill patient. Life-threatening problems must be treated as they are recognised. - Call for assistance - The management of anaphylactic shock requires good airway management, administration of adrenaline (epinephrine) and aggressive fluid resuscitation. - When an anaphylactic reaction is recognised the administration of the intravenous medication must stop immediately and any remaining drug must be withdrawn from the IV/central line. - Commence resuscitation following the algorithm in Appendi 1 (Resuscitation Council (UK) Emergency treatment of anaphylactic reactions) - The preferred route for the administration of adrenaline is intramuscular. Intravenous adrenaline should be reserved for children with life-threatening shock for whom intramuscular injection has been ineffective. - For severe shock, and shock resistant to treatment, continue with boluses of colloid and ventilatory support and give further boluses of adrenaline (ephinephrine) intramuscularly every 5 minutes if symptoms are not reversed. With shock that is resistant to intramuscular adrenaline (ephinephrine) and 1 or 2 boluses of fluid, an infusion of intravenous adrenaline may be life-saving. Page 3 of 9
4 Reproduced with kind permission from The Resuscitation Council UK Page 4 of 9
5 3. Monitoring compliance and effectiveness Element to be monitored Lead Tool Frequency Reporting arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be shared Compliance with guideline Oncology multi-disciplinary team. Audit and peer review process. annually Paediatric haematology and oncology team Audit and guidelines meeting Paediatric haematology and oncology team Audit and guidelines meeting Required changes to practice will be identified and actioned within 6-12 months. A lead member of the team will be identified to take each change forward where appropriate. Lessons will be shared with all the relevant stakeholders 4. Equality and Diversity 4.1. This document complies with the Royal Cornwall Hospitals NHS Trust service Equality and Diversity statement Equality Impact Assessment The Initial Equality Impact Assessment Screening Form is at Appendi 2. Page 5 of 9
6 Appendi 1. Governance Information Document Title Hypersensitivity and anaphylactic reactions during and after treatment with chemotherapy- Clinical Guideline for recognition and Date Issued/Approved: June 2014 Date Valid From: June 2014 Date Valid To: June 2017 Directorate / Department responsible (author/owner): Dr. Katrina Macdonald Contact details: Brief summary of contents Clear guideline for the recognition and treatment of hypersensitivity and anaphylactic reactions during and after treatment with chemotherapy. Suggested Keywords: Target Audience Eecutive Director responsible for Policy: Date revised: June 2014 This document replaces (eact title of previous version): Chemotherapy Anaphylais Children Reaction Paedaitrics Haematology Oncology RCHT PCH CFT KCCG Guideline for the recognition and treatment of hypersensitivity and anaphylactic reactions during and after treatment with chemotherapy. Approval route (names of committees)/consultation: Divisional Manager confirming approval processes Name and Post Title of additional signatories Paediatric haematology and oncology team Department audit and guidelines meeting Divisional Board Sheena Wallace Not Required Page 6 of 9
7 Signature of Eecutive Director giving approval Publication Location (refer to Policy on Policies Approvals and Ratification): Document Library Folder/Sub Folder Links to key eternal standards Related Documents: Training Need Identified? {Original Copy Signed} Internet & Intranet Paediatrics none Intranet Only Resuscitation Council (UK) guideline for Emergency treatment of anaphylactic reactions Peninsula Cancer Network draft guideline for Hypersensitivity and Anaphylais APLS guideline for anaphylais. No Version Control Table Date Versio n No Feb 2012 V1.0 Initial Issue June 14 V2.0 Re format and review Summary of Changes Changes Made by (Name and Job Title) Dr N. Gilbertsonpaediatric consultant Dr.K.Macdonald- Associate Specialist Dr.K.Macdonaldassociate specialist T.Fergus-format only All or part of this document can be released under the Freedom of Information Act 2000 This document is to be retained for 10 years from the date of epiry. This document is only valid on the day of printing Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust Policy on Document Production. It should not be altered in any way without the epress permission of the author or their Line Manager. Page 7 of 9
8 Appendi 2. Initial Equality Impact Assessment Form Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy) (Provide brief description): Clinical guideline for the recognition and treatment of hypersensitivity and anaphylactic reactions during and after treatment with chemotherapy. Directorate and service area: Child Is this a new or eisting Policy? eisting Health Name of individual completing Telephone: assessment: T.Fergus 1. Policy Aim* Who is the strategy / policy / proposal / service function aimed at? Clear guidance for recognition and treatment of hypersensitivity and anaphylactic reactions during and after treatment with chemotherapy. 2. Policy Objectives* Clear guidance for recognition and treatment of hypersensitivity and anaphylactic reactions during and after treatment with chemotherapy 3. Policy intended Outcomes* 4. *How will you measure the outcome? 5. Who is intended to benefit from the policy? 6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? Evidence based and standardised practice. Audit and annual review Children and families no b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure. 7. The Impact Please complete the following table. Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Eisting Evidence Age Page 8 of 9
9 Se (male, female, transgender / gender reassignment) Race / Ethnic communities /groups Disability - learning disability, physical disability, sensory impairment and mental health problems Religion / other beliefs Marriage and civil partnership Pregnancy and maternity Seual Orientation, Biseual, Gay, heteroseual, Lesbian You will need to continue to a full Equality Impact Assessment if the following have been highlighted: You have ticked Yes in any column above and No consultation or evidence of there being consultation- this ecludes any policies which have been identified as not requiring consultation. or Major service redesign or development 8. Please indicate if a full equality analysis is recommended. Yes No 9. If you are not recommending a Full Impact assessment please eplain why. No areas identified Signature of policy developer / lead manager / director T.Fergus Date of completion and submission June 2014 Names and signatures of members carrying out the Screening Assessment Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD A summary of the results will be published on the Trust s web site. Signed T.Fergus Date June 2014 Page 9 of 9
CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE USE OF INTRAVENOUS SLIDING SCALE REGIMEN FOR ADULTS 1. Aim/Purpose of this Guideline This guideline is for the management of for the management of Adult patients with Diabetes
More informationSEPSIS IN INFANTS AND CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline
SEPSIS IN INFANTS AND CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline is for the management of sepsis in Infants and children. For full guidance please see the Surviving
More informationMANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE
MANAGEMENT OF DIRECT ANTIGLOBULIN TEST (DAT) POSITIVE INFANTS NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. To provide monitoring and treatment guidance for medical and nursing staff
More information2.1. Applicable areas: Royal Cornwall Hospitals Trust; Neonatal Unit and Delivery Suite
ADVANCED NEONATAL NURSE PRACTITIONERS (ANNPs) BLOOD COMPONENT AND BLOOD PRODUCT REQUESTING PROTOCOL NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 The purpose of this protocol is to guide
More informationCLINICAL GUIDELINE FOR THE MANAGEMENT OF HYPERGLYCAEMIA IN ADULTS WITH ACUTE CORONARY SYNDROME
CLINICAL GUIDELINE FOR THE MANAGEMENT OF HYPERGLYCAEMIA IN ADULTS WITH ACUTE CORONARY SYNDROME 1. Aim/Purpose of this Guideline This guideline is for the management of Adult patients with Diabetes Mellitus
More information2.1 When a breastfeeding woman is admitted to hospital, the support she needs depends on the nature of her illness and the treatment needed
CARE OF BREASTFEEDING WOMEN ADMITTED TO HOSPITAL, CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 Breastfeeding is known to be one of the most powerful health protective influences and as such,
More informationCLINICAL GUIDELINE HOW TO PERFORM A VENESECTION, DETAILING VEIN SELECTION AND PATIENT CARE 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE HOW TO PERFORM A VENESECTION, DETAILING VEIN SELECTION AND PATIENT CARE 1. Aim/Purpose of this Guideline 1.1. Venesection is a clinical procedure commonly performed in the Haematology
More informationThis guideline is for the management of Adult patients with Diabetes Mellitus using insulin pump therapy during admission to hospital
CLINICAL GUIDELINE FOR THE MANAGEMENT OF ADULT PATIENTS DIABETES MELLITUS USING INSULIN PUMP THERAPY (Continuous Subcutaneous Insulin Infusion (CSII)), DURING ADMISSION TO HOSPITAL 1. Aim/Purpose of this
More informationOccupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0
Occupational Therapy Service in the Emergency Department at Royal Cornwall Hospital V1.0 January 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Ownership
More informationCLINICAL GUIDELINE FOR THE MANAGEMENT OF HIGH BLOOD GLUCOSE LEVELS AND SICK DAYS ON AN INSULIN PUMP. 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE MANAGEMENT OF HIGH BLOOD GLUCOSE LEVELS AND SICK DAYS ON AN INSULIN PUMP. 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to give clear information and
More informationPRESEPTAL AND ORBITAL CELLULITIS IN CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline
PRESEPTAL AND ORBITAL CELLULITIS IN CHILDREN- CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to medical and nursing staff caring for a child with Preseptal and Orbital
More informationProcedure for Non-Medical Staff who wish to Request MRI, Ultrasound and Imaging Examinations under IR(ME)R
Procedure for Non-Medical Staff who wish to Request MRI, Ultrasound and Imaging V3.0 December 2013 Page 1 of 11 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope...
More informationCLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED HEALTHCARE PRACTITIONERS EMPLOYED WITHIN MINOR INJURY UNITS IN CORNWALL
CLINICAL IMAGING REFERRAL PROTOCOL FOR REGISTERED HEALTHCARE PRACTITIONERS EMPLOYED WITHIN MINOR 1. Aim/Purpose of this Guideline This Protocol applies to Registered Healthcare Practitioners in the Minor
More informationAccounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0
Accounts Receivable - Guidance to staff responsible for the collection of income following the supply of goods or services V4.0 June 2015 Table of Contents Accounts Receivable - Guidance to staff responsible
More informationClinical Guideline For The Use of Rectus Sheath Catheters For The Management of Pain Following Laparotomy. 1. Aim/Purpose of this Guideline
Clinical Guideline For The Use of Rectus Sheath Catheters For The Management of Pain Following Laparotomy. 1. Aim/Purpose of this Guideline 1.1. Nursing guidelines for the use of rectus sheath catheters
More informationCLINICAL GUIDELINE FOR THE MANAGEMENT OF OPIATE DEPENDENT PATIENTS AT RCHT 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE MANAGEMENT OF OPIATE DEPENDENT PATIENTS AT RCHT 1. Aim/Purpose of this Guideline 1.1. These guidelines are aimed at Medical Staff at RCHT treating patients admitted that are
More informationOXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE
OYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 To provide guidance on the assessment and management of infants requiring oxygen therapy
More informationPREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline
PREGNANCY OF UNKNOWN LOCATION (PUL) - CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline All clinical staff working in the Division of women, children & sexual health to provide evidence based guidance
More informationCLINICAL GUIDELINE FOR ADVANCED NURSE PRACTITIONER HEPATOLOGY (GASTROENTEROLOGY) 1. Aim/Purpose of this Guideline:
CLINICAL GUIDELINE FOR ADVANCED NURSE PRACTITIONER HEPATOLOGY (GASTROENTEROLOGY) 1. Aim/Purpose of this Guideline: 1.1. This protocol applies to Advanced Nurse Practitioners (Hepatology) employed by RCHT
More informationCLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start
CLINICAL GUIDELINE FOR CHANGING A CATHETER EXIT SITE DRESSING (I.E. MIDLINE/ CVC/ PICC/ HICKMAN) Summary. Start 1. Assemble all your equipment before you start. 2. Explain and discuss the procedure with
More informationGuidance on Leases and other Agreements V4.0
Guidance on Leases and other Agreements V4.0 August 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities...
More informationEmergency 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 informationTRANSPORT INCUBATOR AND VENTILATOR - NEONATAL CLINICAL GUIDELINE.
TRANSPORT INCUBATOR AND VENTILATOR - NEONATAL CLINICAL GUIDELINE. 1. Aim/Purpose of this Guideline 1.1. This guideline identifies the key equipment and testing requirements needed to ensure that the Neonatal
More informationtrust 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 informationCLINICAL GUIDELINE FOR MANAGEMENT OF NEUTROPENIC SEPSIS IN CANCER PATIENTS 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR MANAGEMENT OF NEUTROPENIC SEPSIS IN CANCER PATIENTS 1. Aim/Purpose of this Guideline 1.1. Systemic cancer treatments and immunological therapies can suppress the ability of the bone
More informationEmergency Treatment of Anaphylaxis Policy and Guidelines
Emergency Treatment of Anaphylaxis Policy and Guidelines This procedural document supersedes: PAT/EC 3 v.4 Policy and Guidelines for the Emergency Treatment of Anaphylaxis This procedural document should
More informationADMINISTRATION OF VITAMIN K NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline
ADMINISTRATION OF VITAMIN K NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to all staff responsible for the administration of Vitamin K (Phytomenodium) to newborn
More informationAnaphylaxis 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 informationCLINICAL GUIDELINE FOR
CLINICAL GUIDELINE FOR the investigation and management of inpatients with discitis (vertebral osteomyelitis) 1. Aim/Purpose of this Guideline 1.1.This guideline applies to clinical staff managing patients
More informationClinical 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 informationThe Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0
The Use of Electronic signatures for Prescribing Chemotherapy and data entries on the Aria MedOncology system V3.0 January 2013 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3.
More informationAnaphylaxis: 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 informationSTROKE AND TIA MULTIDISCIPLINARY CARE PATHWAY 6 th Edition Cornwall Stroke Service (Royal Cornwall Hospital Trust Facing)
STROKE AND TIA MULTIDISCIPLINARY CARE PATHWAY 6 th Edition Cornwall Stroke Service (Royal Cornwall Hospital Trust Facing) 1. Aim/Purpose of this Guideline The aim of this document to inform clinicians
More informationAdult Chemotherapy Induced Anaphylaxis Policy
Adult Chemotherapy Induced Anaphylaxis Policy The Beatson West of Scotland Cancer Centre 1053 Great Western Road Glasgow G12 0YN Written by: Elaine Barr Authorised by: D.Dunlop, C. Forte Issue Number :
More informationTable of Contents. Page
Table of Contents 1.0 Purpose 3 2.0 Scope 3 3.0 Definition of Anaphylaxis 3 4.0 Recognition of Anaphylaxis: General Principles 3 5.0 Recognition of Anaphylactic Reaction 5 6.0 Treatment of Anaphylactic
More informationHow to Submit a School Epinephrine Report
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 informationAccess Control Policy V1.0
V1.0 January 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 4 5. Ownership and Responsibilities... 4 5.1. Role of the Chief
More informationImmunology, 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 informationEpinephrine 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 informationHow To Pay A Bill At The Trust
Guidance to Staff responsible for the Ordering, Authorising and Payment of goods and services received V3.0 June 2015 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3.
More informationAnaphylaxis. 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 informationANAPHYLAXIS. 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 informationCLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND
CLINICAL GUIDELINE FOR THE EMERGENCY DEFILL OF AN ADJUSTABLE GASTRIC BAND 1. Aim/Purpose of this Guideline The aim of this guideline to enable the effective care of patients needing emergency defill of
More informationDiagnostic Testing Procedures for Ophthalmic Science
V3.0 09/06/15 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.
More informationAdverse Events Following Immunisation (AEFI) Noel McCarthy Thames Valley Public Health England Centre and Everybody
Adverse Events Following Immunisation (AEFI) Noel McCarthy Thames Valley Public Health England Centre and Everybody A fifteen year old with diabetes came for his MMR and was referred by the school nurse
More informationWithycombe 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 informationAnaphylaxis 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 informationCLINICAL PROCEDURE FOR THE SAFE REMOVAL OF FEMORAL ARTERIAL SHEATHS USING A DIGITAL APPROACH 1. Aim/Purpose of this Guideline
CLINICAL PROCEDURE FOR THE SAFE REMOVAL OF FEMORAL ARTERIAL SHEATHS USING A DIGITAL APPROACH 1. Aim/Purpose of this Guideline 1.1. To aide registered nurses in the safe removal of arterial femoral sheaths
More informationA Policy for the Trial and Evaluation of Medical Devices
29/05/2014 V2.1 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions... 3 5. Ownership and Responsibilities... 4 5.1. Role of the Trust Board and Medical Director...
More informationCLINICAL GUIDELINE FOR MANAGEMENTS OF PATIENTS TAKING ANTICOAGULANTS IN ENDOSCOPY 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR MANAGEMENTS OF PATIENTS TAKING ANTICOAGULANTS IN ENDOSCOPY 1. Aim/Purpose of this Guideline 1.1. The purpose of this guideline is to assist decision making of whether anticoagulants
More informationGrievance and Disputes Policy and Procedure. Document Title. Date Issued/Approved: 10 August 2010. Date Valid From: 21 December 2015
POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department
More informationUnder Review. Policy for Self Administration of medicines (SAM) by Competent Patients. Document Title. Date Issued/Approved: 18 th October 2013
POLICY UNDER REVIEW Please note that this policy is under review. It does, however, remain current Trust policy subject to any recent legislative changes, national policy instruction (NHS or Department
More informationBROCKTON 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 informationEmergency Anaphylaxis Management: Opportunities for Improvement. Ronna Campbell, MD, PhD August 31, 2015
Emergency Anaphylaxis Management: Opportunities for Improvement Ronna Campbell, MD, PhD August 31, 2015 disclosures Anaphylaxis Roundtable discussion held at the 2014 American College of Allergy, Asthma
More informationINSERTION OF UMBILICAL LINES ARTERIAL (UAC) and VENOUS (UVC) - NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline
INSERTION OF UMBILICAL LINES ARTERIAL (UAC) and VENOUS (UVC) - NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline This guideline applies to all staff undertaking the procedure of umbilical line
More informationCare Pathway for the Administration of Intravenous Iron Sucrose (Venofer )
Departments of Haematology, Nephrology and Pharmacy Care Pathway for the Administration of Intravenous Iron Sucrose (Venofer ) [Care Pathway Review Date] Guidance for use This Care Pathway is intended
More informationEmergency Treatment of an Anaphylactic Reaction in the Community Protocol
Emergency Treatment of an Anaphylactic Reaction in the Community Protocol Reference Number: NHSCT/09/216 Responsible Directorate: Children s Services Replaces (if appropriate): Northern Trust Departmental
More informationLesson 3 Managing Food Allergies
Lesson 3 Managing Food Allergies Lesson at a Glance Time Allowed (1 hour) 5 minutes Introduction to Managing Food Allergies 15 minutes Objective 1: Creating a Food Allergy Policy Topic Activity Materials
More informationManagement 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 informationAnaphylaxis Recognition and Out of Hospital Management
Western Canada Immunization Forum Anaphylaxis Recognition and Out of Hospital Management Joy Loewen, Manager Province-wide Immunization Program March 6, 2014 1 Presenter Disclosure Joy Loewen Relationships
More informationCLINICAL GUIDELINE FOR THE NEONATAL MANAGEMENT OF INFANTS BORN TO MOTHERS WITH THYROID DISEASE 1. Aim/Purpose of this Guideline
CLINICAL GUIDELINE FOR THE NEONATAL MANAGEMENT OF INFANTS BORN TO MOTHERS WITH THYROID DISEASE 1. Aim/Purpose of this Guideline 1.1. This guideline applies to Neonatal/Paediatric and Midwifery/Obstetric
More informationThis 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 informationEMERGENCY 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 informationSMO: Anaphylaxis and Allergic Reactions
REGION I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Anaphylaxis and Allergic Reactions Overview: Allergic reactions can vary in severity from a mild reaction consisting of hives
More informationDocument Title: Patient Group Direction for Adrenaline (Epinephrine) 1:1000. http://www.england.nhs.uk/mids-east/ss-at/immunisations/
Document Title: Patient Group Direction for Adrenaline (Epinephrine) 1:1000 Area Team Doc Ref.: PGD Version No.: 06/2014 Doc Ref.: Author: Owner: File Reference: Document Overseeing Group: http://www.england.nhs.uk/mids-east/ss-at/immunisations/
More informationPrimary Care Paramedic. Diphenhydramine (Benadryl) Certification Package
Primary Care Paramedic Diphenhydramine (Benadryl) Certification Package 1 Welcome to the Primary Care Paramedic Diphenhydramine Certification package! The addition of Benadryl to your list of medications
More informationMARYLAND 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 informationCLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC)
CLINICAL GUIDELINE FOR VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC) 1. Aim/Purpose of this Guideline 1.1. Due to a rise in the caesarean section rate there are increasing numbers of pregnant women who
More informationGlossary 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 informationALLERGY 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 informationStudents 4000 OP 4.550. Anaphylaxis in Schools
Students 4000 OP 4.550 Anaphylaxis in Schools BACKGROUND The District recognizes it has a duty of care to students who are at risk from life-threatening allergic reactions while under school supervision
More informationInfluenza Vaccine Protocol Agreement (O.C.G.A. Section 43-34-26.1)
Influenza Vaccine Protocol Agreement (O.C.G.A. Section 43-34-26.1) This Influenza Vaccine Protocol Agreement (the "Protocol") authorizes the Georgia licensed pharmacists (the "Pharmacists") or nurses (
More informationLIFE-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 informationChildren s Allergy and Anaphylaxis Protocols for Schools and Child Care Organisations
Children s Allergy and Anaphylaxis Protocols for Schools and Child Care Organisations This protocol can be used by anyone caring for a child who may be at risk of allergic symptoms or Anaphylaxis. The
More informationProtocol for Management of Suspected Anaphylactic Shock
Protocol for Management of Suspected Anaphylactic Shock COMMUNICABLE DISEASE CONTROL Summary of First Steps for Suspected Anaphylaxis Signs and Symptoms: Within minutes signs/symptoms can develop and do
More informationAnaphylaxis / Urticaria / Angioedema HSJ 29/02/12
Anaphylaxis / Urticaria / Angioedema HSJ 29/02/12 Case Study Female, 42,? Penicillin Allergy After 1 tab amoxyl, tongue/throat swelling, lips, ears Collapse, given adrenaline Had amoxycillin several times
More informationDirection Number: - NECSAT 2014/008
Patient Group Direction (PGD) for the Administration of ADRENALINE (Epinephrine) INJECTION For The TREATMENT of ANAPHYLAXIS by Registered Professionals to Individuals Accessing NHS Services in Durham,
More informationAppendix 7 Anaphylaxis Management
Appendix 7 Anaphylaxis Management Anaphylaxis: Initial Management in Non-Hospital Settings This section is intended for the initial management of patients in a public health clinic, medical office or similar
More informationFood 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 informationPRIMARY 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 informationEmergency Treatment for Vaccine Reactions
Massachusetts Department of Public Health Division of Epidemiology and Immunization Model Standing Orders Emergency Treatment for Vaccine Reactions Note: These model standing orders are current as of December
More informationSample 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 informationEMERGENCY 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 informationCHAPTER 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 informationYORK REGION DISTRICT SCHOOL BOARD. Policy and Procedure #661.0, Anaphylactic Reactions
WORKING DOCUMENT YORK REGION DISTRICT SCHOOL BOARD Policy and Procedure #661.0, Anaphylactic Reactions The Anaphylactic Reactions policy and procedure address staff responsibilities with regard to providing
More informationProtocol 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 informationPHARMACISTS AMENDMENTS TO PRESCRIPTIONS
PHARMACISTS AMENDMENTS TO PRESCRIPTIONS May 2016 Version 2.3 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions/Glossary... 3 5. Ownership and Responsibilities...
More informationMedicines Management
Medicines Management Patient Group Direction for the Supply/administration of Adrenaline (Epinephrine) for Treatment of Anaphylaxis by accredited community Pharmacists. Rationale To enable a pharmacist,
More informationAnaphylaxis Management. Pic 1 Severe allergic reaction which led to anaphylaxis
1 Anaphylaxis Management Pic 1 Severe allergic reaction which led to anaphylaxis What is an allergic reaction? 2 An allergy is when someone has a reaction to something (usually a protein) which is either
More informationAdministering 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 informationAdrenaline 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 informationAnaphylaxis 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 informationSee, 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 information1. Infusion Related Reactions
1. Infusion Related Reactions 1.1 Executive Summary Infusion related reactions include hypersensitivity reactions and cytokine release syndromes. These reactions are experienced by patients during the
More informationGuidelines 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 informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. National Early Warning Score (NEWS) Policy
The Newcastle upon Tyne Hospitals NHS Foundation Trust National Early Warning Score (NEWS) Policy Version.: 1.0 Effective From: 3 December 2014 Expiry Date: 3 December 2016 Date Ratified: 1 September 2014
More informationAseptic Non Touch Technique (ANTT) Policy
Aseptic Non Touch Technique (ANTT) Policy V3 12 th May 2015 Page 1 of 19 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 4 5.
More informationPERRYSBURG EXEMPTED VILLAGE SCHOOL DISTRICT
PERRYSBURG EXEMPTED VILLAGE SCHOOL DISTRICT MEDICATION IN SCHOOL 5330 F1/page 1 of 5 Before the student will be permitted to take medication during school hours or to use a self-administer medication and
More informationNEW GUIDELINES FOR USE OF STOCK EPINEPHRINE AUTO-INJECTORS IN WYOMING SCHOOLS
Wyoming Department of Education Cindy Hill, Superintendent of Public Instruction Hathaway Building, 2nd Floor, 2300 Capitol Avenue Cheyenne, WY 82002-0050 Phone: (307) 777-7675 Fax: (307) 777-6234 edu.wyoming.gov
More informationEpinephrine & Anaphylaxis To Stick or Not To Stick
Epinephrine & To Stick or Not To Stick William Hurley, MD FACEP Harborview Medical Center hurleyw@u.washington.edu Washington Poison Center hurley@wapc.org Epinephrine & Describe common initiators of anaphylaxis.
More information