Presentation on theme: "Save a Life with Epinephrine - EpiPen®"— Presentation transcript:
1Save a Life with Epinephrine - EpiPen® Rachel Gallagher, R.N., A.P.N.P.School Nurse ConsultantWisconsin Department of Public Instruction125 South Webster St.Madison, WI 53707
2Audio Difficulties?Make sure the volume is turned up (volume button beneath the speaker’s picture)Make sure the volume on the computer is turned up (volume icon located on the right hand side of your computer taskbar)Contact your IT departmentIf audio and visual is lost during the program, go back to: and click on the Student Services Prevention and Wellness Team link on the left, then when the SSPW Team page of archived programs appears, select the program link desired.If problem persists contact Rachel Gallagher (608)
3This power point, web cast and competency test will satisfy the knowledge portion of medication training.To complete the medication training for this emergency medication, school personnel will need to have a their medication administration skill verified and documented by a school nurse, medical provider or adequately training parent by performing an independent demonstration of the skill.Competency checklist are available at:
4Overview What is anaphylaxis? What is the prevalence? What are the symptoms?What are some common allergens?What are the treatments?What are the delivery devices?DemonstrationTest
5What is Anaphylaxis?Is a sudden and severe immune system reaction that affects the whole bodyCan be life-threateningHistory of asthma and eczema increases prevalence of anaphylactic reactionsEstimated that there is 30,000 episode causing 100 to 200 deaths per year.
6What is the prevalence of anaphylaxis? 30,000 emergency room visits2,000 hospitalizations150 deathsFood and Drug Administration, 2007
7What are some of the signs of anaphylaxis? Skin - hives, swelling, tingling and flushing of skin, sweaty skinRespiratory - respiratory distress, wheezing, coughingCardiovascular - increased pulse, decreased blood pressure
8Signs continuedGastrointestinal – nausea, vomiting and diarrhea, droolingGenitourinary – incontinency, crampingCentral Nervous System – confusion, loss of consciousnessFeeling of impending doom
11What are some of the common allergens that cause anaphylaxis? FoodInsectsDrugsExercise-induced anaphylaxisFood – Although 160 foods can cause allergic reactions in people with food allergies, 90% of the food allergic reactions are caused by 8 foods including: milk, eggs, fish crustacean shellfish, tree nuts, peanuts, wheat and soybeanInsects – BeesDrugs –Exercise induced anaphylaxis is rare but can occur
12What are the school responsibilities for students with anaphylaxis? Identify students with life-threatening food allergiesDevelop school policies and protocol for management of anaphylaxisEmergency and Individual Health Care PlanTraining of staff on condition, medications, and emergency planDevelop strategies to minimize risk of exposureEmergency Care Plan –Indicates plan, contact numbers and people trained in managementIt also contains a student specific plan for management of anaphylaxis. The ECP is very methodically indicating if you see this do that.
13Treatment of Students with Anaphylaxis? Administration of Benadryl and/or EpinephrineCall 911Check for relapse and administer second dose of epinephrine as neededMonitor side effectsMonitor status of anaphylaxisNotify parents/physicianAdministraton of Benadryl and Epinephrine as indicated by orders. Some physicians will have you35% of students who receive the first dose of epinephrine will have a reoccurrence of their symptoms and require a second dose 5-10 minutes after the first dose was given.Anaphylaxis may recur 1 to 72 hours after initial signs and symptoms apparently resolve. Reported incidence of biphasic anaphylaxis varies from 1% to 23%
14Epinephrine dosages.15 mg for students less than 66 pounds or 30 kilograms.30 mg for students greater than 66 pounds or 30 kilogramsEpi-pen® - .3 mgEpi-pen Jr.® mg
15Delivery Devices Epi-pen® New delivery device (1/10) Old device Two delivery devices that come in different strengthsOld device
16Steps for administration-Epi-Pen® Flip open the yellow cap of the Epi-Pen® or the green cap of the Epi-Pen® Jr. auto injector carrier tube.Slide out of carrier tube.Grasp unit with fist and orange tip down.With other hand, pull off blue safety release cap.
17Steps for administration-Epi-Pen® cont. Hold orange tip near outer thigh.Swing and push against outer thigh at a right angle or perpendicular to the leg.Hold firm against thigh for 10 seconds to deliver the medications.Remove tip from leg and massage injection site for 10 seconds.