Presentation on theme: "Education for a Life Threatening Allergic Reaction"— Presentation transcript:
1Education for a Life Threatening Allergic Reaction AnaphylaxisEducation for a LifeThreatening Allergic ReactionNatasha Paul BSc,BScN, RNPublic Health Services
2Objectives Identify participant at risk Define anaphylaxis Describe the signs and symptomsIdentify triggers for anaphylaxisDiscuss treatment of anaphylaxisDiscuss avoidance strategiesBe able to use an epinephrine auto-injector
3Goal for Recreational Programs To create an “allergy-safe” environmentPrevention of an allergic emergency throughEducationAwarenessTraining
4Identify the Participants at Risk Recognize ParticpantsPictureMedicAlert® braceletAnaphylaxis emergency planKnow the symptoms
12Other anxiety feeling something bad is going to happen “impending doom”
13Key Messages Unpredictable Never ignore early symptoms Antihistamines do not prevent anaphylaxisAsthma medicine do not prevent anaphylaxisAssistance may be required to use the auto-injector
14Triggers for Anaphylaxis Foodpeanuttree nutsmilkeggfish/shellfishwheatsoy
15Triggers for Anaphylaxis Insect StingsMedicationLatex
16Factors that increase the risk of a severe allergic reaction AsthmaNo or delayed use of epinephrineIf asthma is poorly controlled there is the potential for a more sever allergic reaction.Side effects are rapid heart rate, flushing or pallor, dizzy, weakness,tremors
18Epinephrine Hormone that is produced naturally in the body “fright & flight”Drug of choice to treat anaphylaxisNo contraindicationsWill not cause harm if givenPossible side effects: increased heart rate,tremors,flushing pallor,dizziness
19When to give Epinephrine Known exposureAny inside symptomsGeneralized hives or swellingIf in doubt, give epinephrine
20Managing Anaphylaxis Administer epinephrine (note expiry date) Lie the person on his/her sideCall 911Call parentsIf reaction continues or worsens, a second dose of epinephrine may be given in minutes
21Location of the Epinephrine Auto-injector Places that are easily accessibleCheck expiry date located on EpiNOT in locked cupboards or drawersIndividuals should carry their own auto-injectorExtra auto-injectors in emergency first-aid kits (if possible)
22Avoidance Strategies (Food Allergens) Do not eat the allergic foodSupervision of young children while eatingNo trading or sharing of food, utensils, or containersWash hands before and after eatingDisposal of food items after eatingCategories for avoidance : Classroom/ CafeteriaBusesGeneral
23Avoidance Strategies Table surfaces cleaned after eating Ingredient list for food purchased“No Eating” rule on busesNon-food items or special activity to reward or celebrate participantsCommunication or Reminders - “It is that time of year again…”via Community Center/HRM using bulletins and newsletters outlining the program’s anaphylaxis plan/expectations.
24Avoidance Strategies (Insect Stings) Eat in designated areas inside the facilityCarry epinephrine auto-injectorCover and empty garbage binsReplace or repair broken screens on windows
25Remember:Epi pens should not be expired or close to expiration date. Inform parents if they are.If you overhear a child say he has an allergy but you are unaware of this fact – follow it up.
26Legalities… (Providing Treatment) Volunteer Services Act:Chapter 497 (Revised status 1989, amended 1992 C34)An Act Respecting the Protection of Persons Who VoluntarilyRender Services or Assistance
27Legalities… (Providing Treatment) Volunteer Services Act: Chapter 497 (Revised status 1989, amended 1992 C34)Emergency assistance to personWhere, in respect of a person who is ill, injured or unconscious as a result of an accident or other emergency, a volunteer renders services or assistance at any place, the volunteer is not liable for damages for injuries to or the death of that person alleged to have been caused by an act or omission on the part of the volunteer while rendering services or assistance, unless it is established that the injuries or death were caused by gross negligence on the part of the volunteer, and no proceeding shall be commenced against a volunteer which is not based upon his alleged gross negligence. R.S., c. 497, s. 3.
28Legalities… Canadian Charter of Rights and Freedoms provides: (s.15) “15. (1) Every individual is equal before and under the law and has the right to the equal protection and equal benefit of the law without discrimination and, in particular, without discrimination based on race, national or ethnic origin, colour, religion, sex, age or mental or physical disability. individual is equal before and under the law and has the right to equal protection and equal benefit of the law without discrimination and in particular, without discrimination based on …physical disability.”
29Canadian Charter of Rights and Freedoms provides: (s.15) Legalities…Canadian Charter of Rights and Freedoms provides: (s.15)(2) Subsection (1) does not preclude any law, program or activity that has as its object the amelioration of conditions of disadvantaged individuals or groups including those that are disadvantaged because of race, national or ethnic origin, colour, religion, sex, age or mental or physical disability.
30How to use the EpiPen® Remove EpiPen Auto-Injector from carrier tube Hold firmly with orange tip pointing downwardRemove blue safety release (cap)Push Orange tip firmly into mid-outer thigh until you hear a “click”Hold on thigh for several seconds (count to 10)Built in needle protection (orange needle protector extends to cover needle to protect you from a needle stick injury)Remove and return to storage containerBring to hospital for disposal
32How to use the Twinject™ Pull of Green cap #1 to see a red tipPull of Green cap #2Press GREY tip against mid outer thigh until a click is heardHold in place for a count of 10Remove
33How to use the Twinject™ Suggestion: Start taking Second dose apart now and make it available.Once Ambulance arrives, place Second Dose or unused Epinephrine in case and give to Ambulance Attendants.
36Anaphylaxis in Schools & Other Settings ReferenceAnaphylaxis in Schools & Other Settings(2nd Edition, 2009)Can be purchased for $15 (plus applicable taxes and shipping and handling) from any of the following organizations:Allergy/Asthma Information Association (AAIA)Anaphylaxis CanadaAssociation québécoise des allergies alimentaires (AQAA)Canadian Society of Allergy and Clinical Immunology (CSACI)The proceeds from the sale of this document will help these non-profit organizations continue their work in anaphylaxis education, support, and research.