A potentially life-threatening severe allergic reaction to a substance
View the powerpoint Take test on Anaphylaxis and EpiPens and print copy. Contact school nurse ◦ Bring completed test for review ◦ View and give return demo on EpiPen use
Insects, Bees Peanuts or Tree nuts Latex or rubber Medication Foods Unknown cause Types of life threatening allergies usually seen in students.
When an allergic reaction is life threatening, it is called anaphylaxis Students with anaphylaxis should have a health care plan prepared by the school nurse Key personnel including health technicians, teachers of affected students and campus supervisors should be familiar with the care plan and emergency actions necessary
Any respiratory system involvement Difficulty breathing Audible wheezing Difficulty swallowing
Hives Itching Swelling Wheezing Sense of doom Fainting or loss of consciousness Dizziness Throat tightness or closing Difficulty breathing Stomach cramps Change of voice Runny nose Vomiting Diarrhea Difficulty swallowing Red, watery eyes Change of color
Who can train? Who can be trained? What is required before training? How often must an individual be trained? The school nurse Designated school personnel who have volunteered to be trained Current CPR certification Annually
Determine if anaphylaxis is suspected. Anaphylaxis usually, but not always occurs right after exposure to an allergen. Frequently anaphylaxis occurs in individuals who have a history of a previous reaction. If there is uncertainty about the diagnosis, but there is reasonable probability that it is anaphylaxis, then treat as anaphylaxis.
If anaphylaxis symptoms are present, Administer EpiPen. Call 911 or activate the emergency medical system (EMS). Stay with the victim. Have others notify the paramedics, school nurse, parents and school administrator immediately. Have the victim sit or lay down. Reassure the victim and avoid moving him or her. Calming reduces distribution of allergen in the body.
Know where the EpiPens are stored ◦ EpiPens are stored at room temperature ◦ Frequently check expiration dates of EpiPens Be familiar with students who have EpiPens Review the health care plans for students who have EpiPens Frequently review CPR
For students in second grade or below, or if less than 66 lbs., use White label EpiPen Jr. (0.15mg.) For adults and students in third grade or above, or if more than 66lbs., use Yellow label EpiPen (0.3mg) The EpiPen acts immediately; however the effects last only 10-15 minutes. Be sure to have someone call 911 immediately.
Grasp the EpiPen and form a fist around the unit. With the other hand, pull off the GRAY Safety cap. Hold the black tip near the outer thigh. Never put thumb, fingers, or hand over the black tip.
Swing and jab the black tip firmly into the OUTER THIGH so that the auto injector is perpendicular (at a 90 Degree angle) to the thigh. You will hear a click. (The EpiPen can be injected through the victims clothing, if necessary.) Hold the EpiPen firmly in place for 10 seconds and then remove it from the thigh.
Remove the EpiPen and massage the injection site for 10 seconds. Check the black tip: ◦ If the needle is exposed, the dose has been given ◦ If the needle is not exposed, repeat Return the used EpiPen to the plastic container. Give the used EpiPen to paramedics. Watch YouTube - Using Epipen
If symptoms continue and paramedics do not arrive, use a new EpiPen and re-inject 15 to 20 minutes after the initial injection. Continue to monitor the victim’s airway and breathing.
Observe the victim for signs of shock. Cover the victim with a blanket. Monitor the victim’s airway and breathing. Begin CPR immediately if the victim stops breathing.
If the anaphylactic reaction is due to an insect sting, remove the stinger as soon as possible after administering the EpiPen. Scrape with a fingernail or plastic card, do not squeeze, push or pinch. Apply ice pack to sting area.
Document the incident and complete the accident/incident report. Include ◦ the date and time the EpiPen was administered ◦ The victim’s response ◦ Additional pertinent information Send a copy of the report to the school nurse