1. ALLERGIES

2. OBJECTIVES The Participant will be able to –Describe common signs of allergic reaction –Recognize common causes and aggravating factors in allergic reactions –Effectively implement Allergy Action Plan and Individual Care Plan

3. Topics: Allergic reaction defined Causes of allergic reactions Aggravating factors in allergies Signs & symptoms of allergic reactions Managing allergies in child care Strategies for treating allergies including anaphylaxis.

4. An allergic reaction is an abnormal immune response to a substance that does not generally cause a reaction in most people. ALLERGIES

5. Symptoms of Allergies can be… Mild Moderate Severe

6. INGESTANTS: substances that enter the body by mouth INHALANTS: the allergen is breathed in through the nose or mouth CONTACT ALLERGIES: enter the body through the skin CAUSES OF ALLERGIES INJECTED: enter the body through puncture

7. FOOD Milk Wheat Soy Eggs Fish & Shell Fish Peanuts & Tree nuts INGESTANTS

8. DRUGS INGESTANTS Penicillin Sulfa Barbiturates Anticonvulsants

9. INJECTED Vaccines Insulin Antibiotics Insect Stings

10. INHALANTS Pollens House dust mites Molds Animal dander and saliva Chemicals used in industry

11. House Dust Mite

12. Contact Allergies An allergic skin reaction from contact with a substance that is usually harmless to others. –Metals –Skin care products –Medication –Latex

13. Weather Changes Heat Cold Infection Second hand smoke AGGRAVATING FACTORS

14. Conditions Aggravated by ALLERGIES Asthma Hay Fever Eczema Hives Contact Dermatitis

15. Avoidance Medication Allergy Shots (Immunotherapy) TREATMENT Control of environment

16. Managing Allergies in Child Care Policy Considerations Individualized Health Care Plan Allergy Action Plan

17. ANAPHYLAXIS Life Threatening Allergic Reaction

18. Anaphylaxis …test your knowledge Truth? Or Myth 1.Anaphylaxis is Rare 2.The cause of anaphylaxis is always obvious 3.Anaphylaxis is always accompanied by hives 4.Anaphylaxis will subside in 1-2 hours

19. Symptoms of Anaphylaxis

20. What You Should Do… Anaphylaxis

21. Requirements for using Emergency Injectable medication Parent permission Physician written authorization, An individualized written health care plan One-on-one specialized training from the parent and/or health care provider Medication available during field trips

22. TREATMENT Anaphylaxis

23. Resources American Lung Association 61 Broadway, 6th Floor New York, NY 10006 1-800-LUNG-USA (1-800-586-4872) www.lungusa.org www.lungusa.org Asthma & Allergy Foundation of America 1233 20th Street, NW, Suite 402 Washington, DC 20036 1-800-7-ASTHMA (1-800-727-8462) or 202-466-7643 www.aafa.org www.aafa.org The Food Allergy and Anaphylaxis Network 11781 Lee Jackson Highway, Suite 160 Fairfax, VA 22033-3309 1-800-929-4040 www.foodallergy.org www.foodallergy.org American Academy of Allergy, Asthma & Immunology 555 East Wells Street, Suite 1100 Milwaukee, WI 53202-3823 1-800-822-2762 or 414-272-6071 www.aaaai.org www.aaaai.org Centers for Disease Control and Prevention National Center for Environmental Health 1-800-CDC-INFO (1-800-232-4636) or 404-639-3534 www.cdc.gov/nceh www.cdc.gov/nceh Medication Administration: An Instructional Program for Training Unlicensed Personnel to Give Medications in Out-of-Home Child Care in Ohio Student Manual