Food Allergy Action Plan Chart FOOD ALLERGY ANAPHYLAIS EMERGENCY CARE PLAN Form provided courtesy of Food Allergy Research Education FARE FoodAllergy January 2023 HOW TO USE SYMJEPI EPINEPHRINE INJECTION USP 1 When ready to inject pull off cap to expose needle Do not put finger on top of the device 2 Hold SYMJEPI
FORM PROVIDED COURTESY OF FOOD ALLERGY RESEARCH EDUCATION FARE FOODALLERGY ORG 5 2020 1 INJECT EPINEPHRINE IMMEDIATELY 2 Call 911 Tell emergency dispatcher the person is having anaphylaxis and may need epinephrine when emergency responders arrive Consider giving additional medications following epinephrine Allergy Management Plan Allergen Avoidance Write down allergy avoidance strategy and alternative foods suggestions here Educate the patient Strict avoidance of all shellfish and shellfish derived products is imperative to prevent accidental exposure
Food Allergy Action Plan Chart
Food Allergy Action Plan Chart
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Fillable Online Watertownymca Food Allergy Action Plan Place Watertownymcaorg Fax Email Print
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Fillable Online ALLERGY ACTION PLAN Washington Caldwell School District Fax Email Print
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Extremely reactive to the following foods THEREFORE If checked give epinephrine immediately for ANY symptoms if the allergen was likely eaten definitely eaten even if no Antihistamine See weight chart on back Epinephrine EpiPen AuviQ 0 3 mg IM FOOD ALLERGY ANAPHYLAXIS EMERGENCY CARE PLAN HOW TO USE AUVI Q EPINEPHRINE INJECTION USP KALEO 1 Remove Auvi Q from the outer case 2 Pull off red safety guard 3 Place black end of Auvi Q against the middle of the outer thigh 4 Press firmly and hold in place for 5 seconds 5
Plan to stay for observation at the Emergency Room for at least 4 hours For children with multiple food allergies consider providing separate Action Plans for different foods Medication checklist adapted from the Authorization of Emergency Treatment form developed by the Mount Sinai School of Medicine Used with permission A food allergy response kit should contain at least two doses of epinephrine other medications as noted by the student s physician and a copy of the food allergy action plan A kit must accompany a student when off school grounds i e field trip
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Anaphylaxis Action Plan The Anaphylaxis Action Plan sometimes called the Emergency Care Plan or Food Allergy Action Plan is a document developed with your child s allergist The plan lists your child s food allergies and gives important information about symptoms of an allergic reaction how to treat a reaction and how to get emergency For Severe Allergy and Anaphylaxis What to look for Give epinephrine What to do If child has ANY of these severe symptoms after eating the food or having a sting give epinephrine SPECIAL SITUATION If this box is checked child has an extremely severe allergy to an insect sting or the following food s
Plan to stay for observation at the Emergency Room for at least 4 hours For children with multiple food allergies consider providing separate Action Plans for different foods Medication checklist adapted from the Authorization of Emergency Treatment form developed by the Mount Sinai School of Medicine Used with permission Food allergy response kit should contain at least two doses of epinephrine other medications as noted by the student s physician and a copy of this Food Allergy Action Plan kit must accompany the student if he she is off school grounds i e field trip
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FOOD ALLERGY ANAPHYLAIS EMERGENCY CARE PLAN Form provided courtesy of Food Allergy Research Education FARE FoodAllergy January 2023 HOW TO USE SYMJEPI EPINEPHRINE INJECTION USP 1 When ready to inject pull off cap to expose needle Do not put finger on top of the device 2 Hold SYMJEPI
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FORM PROVIDED COURTESY OF FOOD ALLERGY RESEARCH EDUCATION FARE FOODALLERGY ORG 5 2020 1 INJECT EPINEPHRINE IMMEDIATELY 2 Call 911 Tell emergency dispatcher the person is having anaphylaxis and may need epinephrine when emergency responders arrive Consider giving additional medications following epinephrine
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Student Food Allergy Action Plan Template In Word PDF Google Docs Download Template
/Allergy_Action_Plan.jpg "Allergy Action Plan Non Food Related Carrillo Elementary School")
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Food Allergy Action Plan Chart - Plan to stay for observation at the Emergency Room for at least 4 hours For children with multiple food allergies consider providing separate Action Plans for different foods Medication checklist adapted from the Authorization of Emergency Treatment form developed by the Mount Sinai School of Medicine Used with permission
