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Save a Life with Epinephrine - EpiPen® Rachel Gallagher, R.N., A.P.N.P. School Nurse Consultant Wisconsin Department of Public Instruction 125 South Webster.

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Presentation on theme: "Save a Life with Epinephrine - EpiPen® Rachel Gallagher, R.N., A.P.N.P. School Nurse Consultant Wisconsin Department of Public Instruction 125 South Webster."— Presentation transcript:

1 Save a Life with Epinephrine - EpiPen® Rachel Gallagher, R.N., A.P.N.P. School Nurse Consultant Wisconsin Department of Public Instruction 125 South Webster St. Madison, WI

2 Audio 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 department  If 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)

3 This 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:

4 Overview  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?  Demonstration  Test

5 What is Anaphylaxis?  Is a sudden and severe immune system reaction that affects the whole body  Can be life-threatening  History of asthma and eczema increases prevalence of anaphylactic reactions

6 What is the prevalence of anaphylaxis?  30,000 emergency room visits  2,000 hospitalizations  150 deaths Food and Drug Administration, 2007

7 What are some of the signs of anaphylaxis?  Skin - hives, swelling, tingling and flushing of skin, sweaty skin  Respiratory - respiratory distress, wheezing, coughing  Cardiovascular - increased pulse, decreased blood pressure

8 Signs continued  Gastrointestinal – nausea, vomiting and diarrhea, drooling  Genitourinary – incontinency, cramping  Central Nervous System – confusion, loss of consciousness  Feeling of impending doom

9 Pictures  Hives  Swelling

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11 What are some of the common allergens that cause anaphylaxis?  Food  Insects  Drugs  Exercise-induced anaphylaxis

12 What are the school responsibilities for students with anaphylaxis ?  Identify students with life-threatening food allergies  Develop school policies and protocol for management of anaphylaxis  Emergency and Individual Health Care Plan  Training of staff on condition, medications, and emergency plan  Develop strategies to minimize risk of exposure

13 Treatment of Students with Anaphylaxis?  Administration of Benadryl and/or Epinephrine  Call 911  Check for relapse and administer second dose of epinephrine as needed  Monitor side effects  Monitor status of anaphylaxis  Notify parents/physician

14 Epinephrine dosages.15 mg for students less than 66 pounds or 30 kilograms.30 mg for students greater than 66 pounds or 30 kilograms Epi-pen® -.3 mg Epi-pen Jr.® -.15 mg

15 Delivery Devices  Epi-pen®  New delivery device (1/10) device (1/10) Old device

16 Steps 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.

17 Steps 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.

18 Demonstration - EpiPen®

19 Documentation  Every dose of medication need to documented with the date, time and initials of the person administering the medication on the medication log.

20 Questions?  School Nurse  Medical Provider  Parent

21 To Download this PowerPoint Presentation, go to:

22 Any comments regarding this webcast? Any suggestions on future school nursing topics? Contact: Rachel Gallagher (608)

23 Take Test. Upon Completion, take test to nurse or administrator for scoring.


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