1. Anaphylaxis Worksheet

2. Anaphylaxis is a severe allergic reaction.
TRUE
FALSE

3. Death can result from an anaphylactic reaction because of a severe drop in blood pressure and/or airway obstruction.
TRUE
FALSE

4. List 4 items that commonly cause anaphylaxis.
Peanuts
Tree nuts
Fish
Shell fish
Eggs
Milk
Soy
Wheat
Insect stings
Medication
Latex

5. What risk reduction strategies are implemented in your community program?
Common strategies
Establishing allergen aware policy
Supervision of young children while eating
No trading or sharing of food or utensils
Hand washing before and after eating
Cleaning surfaces

6. List the signs of anaphylaxis using the acronym F.A.S.T.
FACE
Runny nose
Red watery eyes
Redness, Swelling
Itching
Hives
AIRWAY
Throat tightness
Change in voice
Difficulty swallowing
Difficulty breathing
Coughing
Wheezing

7. STOMACH
Severe vomiting
Severe diarrhea
Severe stomach cramps
TOTAL BODY
Hives
Itching
Swelling
Change in skin color
Dizziness
Fainting
Loss of consciousness

8. An anaphylactic reaction has occurred when
a) a combination of anaphylactic signs is present.
b) a child is vomiting.
c) a child has hives.

9. Where is the adrenaline auto-injector injected?
Outer middle thigh

10. An expired adrenaline auto-injector should not be used.
TRUE
FALSE
An expired adrenaline auto-injector
is safe to use if the
epinephrine is clear and colorless.

11. The Twinject® has a 2nd dose of epinephrine that cannot be administered by community program personnel.
TRUE
FALSE

12. What are the steps in responding to an anaphylactic reaction?
Give adrenaline auto-injector.
Activate 911/EMS.
Notify parent/guardian.
If signs of anaphylaxis persist or recur, give backup adrenaline auto-injector (if available) every 5 to 15 minutes.
Stay with child until EMS personnel arrive.

13. Where are Anaphylaxis Health Care Plans for children in your community program located?