VACCINE-RELATED ALLERGIC REACTIONS

Size: px
Start display at page:

Download "VACCINE-RELATED ALLERGIC REACTIONS"

Transcription

1 VACCINE-RELATED ALLERGIC REACTIONS Management of Anaphylaxis Public Health Immunization Program June 2018

2 VACCINE-RELATED ADVERSE EVENTS Local reactions pain, edema, erythema Systemic reactions fever, lymphadenopathy Allergic reactions IgE Mediated Long term complications

3 ALLERGENS & ANTIBODIES A QUICK REVIEW Allergen - specific type of antigen which can trigger an abnormal immune response in certain individuals Antibodies - proteins manufactured by the immune system to fight off antigens; produced during the immune response (IgE, IgA, etc)

4 ALLERGIC REACTION = Exposure to allergen Large quantities of IgE bind to basophiles and mast cells (specialized cells of immune system that contain chemicals that assist in the immune response) Antigen-antibody complex is formed

5 Allergic Reaction

6 Allergic Reaction cont d IgE/mast cell/basophile cells release histamine, heparin, other substances Histamine is the principal (potent) chemical involved in allergic reaction, causing an inflammatory response Histamine causes bronchospasm, increased vascular permeability (causes leakage of fluid from circulatory system into surrounding tissues)

7 Inflammatory Response

8 Vaccine-related IgE-Mediated Allergic Reactions are RARE IgE may be made to: Gelatin MMR, rabies, varicella, yellow fever, influenza, Japanese encephalitis vaccines Egg influenza, MMR, yellow fever Latex Specific immunizing agent diphtheria, tetanus, pertussis Antibiotics, preservatives, etc.

9 IS IT ANAPHYLAXIS??? Fainting - characterized by pallor, slow pulse, salivation, nausea, vomiting, and sweating Anaphylactic reactions - often occur within minutes; initially characterized by apprehension (sense of impending doom), flushing, generalized itching, hives, increased heart rate, and loss of consciousness

10 DISTINGUISHING FEATURES BETWEEN FAINTING AND ANAPHYLAXIS Rapidity of onset is key differentiator Fainting = subject changes from normal to unconscious state within seconds Anaphylaxis = changes develop over several minutes; may involve multiple body systems - usually evident within 15 minutes after injection

11 DISTINGUISHING FEATURES BETWEEN FAINTING AND ANAPHYLAXIS Fainting - more common, benign, managed by placing the patient in recumbent position Fainting - sometimes accompanied by brief clonic seizure activity; generally requires no specific treatment or investigation Rarely is unconsciousness the sole manifestation of anaphylaxis; it may progress to unconsciousness only as a late event in severe cases

12 Anaphylaxis = Multi-system disorder Anaphylaxis is set apart from simple allergic reactions (eg hives, allergic rhinitis, asthma) by simultaneous involvement of several organ systems Presence of skin symptoms is key to differentiating anaphylaxis from similar clinical syndromes of different cause (syncope, septic shock, mycocardial infarction, etc)

13 SIGNS & SYMPTOMS OF ANAPHYLAXIS INTEGUMENTARY SYSTEM Occur in 90% of anaphylactic reactions! Generalized hives (hallmark sign) Flushed or red skin Swelling Generalized itching with or without skin rash Prickle sensation Localized injection site hives Red and itchy eyes

14 RESPIRATORY SYSTEM o Bilateral wheeze (bronchospasm) o High pitched wheeze or cough o Upper airway swelling (lip, tongue, throat, larynx) o Respiratory distress rapid breathing, cyanosis, grunting o Persistent dry cough o Hoarse voice o Difficulty breathing without wheeze or stridor o Sensation of lump in throat o Sneezing, runny nose

15 CARDIOVASCULAR SYSTEM Hypotension Clinical diagnosis of shock tachycardia and decreased LOC or loss of consciousness and reduced pulse volume (weak, thready)

16 Other symptoms may include: GASTROINTESTINAL SYSTEM Nausea & vomiting, abdominal pain, diarrhea GI symptoms are more common with ingested allergens. NERVOUS SYSTEM Anxiety, headache, dizziness, disorientation, seizures, unresponsiveness GENERAL SYMPTOMS Pins and needles sensation, complaint of general malaise

17 Signs of Anaphylaxis RESPIRATORY* 80-90% of reactions - Tightness & swelling of the throat, hoarseness, scratchy throat - Trouble breathing, wheezing, chest tightness, cough SKIN 90% of reactions - Hives (uticaria), itching, flushed skin - Swelling of lips, tongue, throat, face General symptoms - Pins & needles sensation - Malaise - Sense of impending doom CENTRAL NERVOUS SYSTEM 10-15% of reactions - Anxiety, headache, dizziness, confusion, tunnel vision - Loss of consciousness CARDIOVASCULAR SYSTEM* 30-45% of reactions - Chest pain, low blood pressure, rapid heart rate (& weak pulse) GI TRACT 30-45% of reactions - Nausea, abdominal cramping, vomiting, diarrhea *Potentially Life-threatening Symptoms

18 WHAT CAUSES DEATH FROM ANAPHYLAXIS? Shock hypotension and cardiac arrest Upper airway compromise Lower airway compromise (bronchospasm) WHO IS AT RISK FOR FATAL ANAPHYLAXIS? Asthmatics, especially if poorly controlled Persons taking beta-blockers Persons with cardiac compromise

19 ANAPHYLAXIS MANAGEMENT Initial assessment rapid history and physical exam observing for signs & symptoms of anaphylaxis CALL 911 ABCD S of resuscitation: Airway Breathing Circulation Drug treatment

20 ANAPHYLAXIS MANAGEMENT Monitor vital signs pulse, blood pressure, respiratory rate Rule of thumb skin symptoms plus any other symptoms treat as anaphylaxis BUT hemodynamic collapse might occur rapidly with little or no cutaneous or respiratory manifestations

21 TREATMENT OF ANAPHYLAXIS EPINEPHRINE!!! Epinephrine (1:1000) - life-saving - first and most important drug to give! There is no absolute contraindication to epinephrine administration 0.01 ml/kg (maximum 0.5 ml per injection) should be given IM into the vastus lateralis (thigh muscle) not at site of immunization Same dose can be repeated every 10 minutes to a maximum of 3 doses

22 Epinephrine Action: Bronchodilator Indications:Anaphylaxis, Cardiac Arrest Precautions: Underlying CV disease Side effects: Palpitations, anxiousness, N/V Dosage: 0.01 ml/kg IM Counteracts histamine-induced vasodilation Increases heart rate, cardiac contractility Acts on smooth muscles of bronchial tree ( bronchospasm) Suppresses body s immune response (slows down histamine cascade)

23 MB HEALTH DOSING PROTOCOL for EPINEPHRINE 2 6 months 6 12 months months 18 months 4 years 5 years 6 9 years years >14 years 0.07 ml 0.07ml 0.1 ml 0.1 ml 0.15 ml 0.15 ml 0.2 ml 0.3 ml 0.4 ml 0.5 ml

24 WHAT IS THE ROLE OF ANTIHISTAMINES? NOT life-saving! Will not prevent fatal anaphylaxis Used primarily to treat skin symptoms (relief of itchiness and hives) Intermediate interval before drug takes effect Diphenhydramine 50mg/ml 2.5 mg/kg to a maximum of 50 mg should be given IM DO NOT REPEAT!

25 Diphenhydramine Actions: blocks histamine receptors Indications:Anaphylaxis Precautions:Asthma, Hypotension Side Effects: Sedation, dries bronchial secretions Dosage: 50 mg/ml IM

26 MB HEALTH DOSING PROTOCOL for DIPHENHYDRAMINE Under 2 years Age 2 to 4 years Age 5 to 11 years > 12 years 0.25 ml 0.50 ml ml 1.00 ml

27 IMPORTANT POINTS Never give diphenhydramine before epinephrine Muscle of choice for epi is the thigh because of better absorption If there are skin symptoms plus any one other symptom give EPI! Other important treatment measures include oxygen, IV fluids, corticosteroids it is therefore vital that the person be transported to hospital asap

28 WHEN IN DOUBT GIVE EPINEPHRINE!!!

29 References Manitoba Health Protocol for Management of Suspected Anaphylactic Shock (2007) Dr. Jan Roberts Anaphylaxis presentation (2005) British Columbia Communicable Disease Control - Immunization Manual - Management of Anaphylaxis in a Non-Hospital Setting (2013) National Advisory Committee on Immunization Canadian Immunization Guide. Public Health Agency of Canada Scott H. Sicherer, F. Estelle R. Simons, American Academy of Pediatrics Clinical Report (February 2017). Section On Allergy And Immunology Epinephrine for First-aid Management of Anaphylaxis

30 QUESTIONS???

VACCINE-RELATED ALLERGIC REACTIONS

VACCINE-RELATED ALLERGIC REACTIONS VACCINE-RELATED ALLERGIC REACTIONS Management of Anaphylaxis IERHA Immunization Program September 2016 VACCINE-RELATED ADVERSE EVENTS Local reactions pain, edema, erythema Systemic reactions fever, lymphadenopathy

More information

Urticaria Moderate Allergic Reaction Mild signs/symptoms with any of following: Dyspnea, possibly with wheezes Angioneurotic edema Systemic, not local

Urticaria Moderate Allergic Reaction Mild signs/symptoms with any of following: Dyspnea, possibly with wheezes Angioneurotic edema Systemic, not local Allergic Reactions & Anaphylaxis Incidence In USA - 400 to 800 deaths/year Parenterally administered penicillin accounts for 100 to 500 deaths per year Hymenoptera stings account for 40 to 100 deaths per

More information

PRIMARY CARE PRACTICE GUIDELINES

PRIMARY CARE PRACTICE GUIDELINES Community Mgmt Team - 1 of 6 1. OUTCOME To identify anaphylaxis in the primary care setting and provide an evidence informed emergency response utilizing the most current provincial and federal practice

More information

Introduction to Emergency Medical Care 1

Introduction to Emergency Medical Care 1 Introduction to Emergency Medical Care 1 OBJECTIVES 22.1 Define key terms introduced in this chapter. Slides 10, 14, 19, 37, 39 22.2 Differentiate between the signs and symptoms of an allergic reaction

More information

Management of an immediate adverse event following immunisation

Management of an immediate adverse event following immunisation Management of an immediate adverse event following immunisation The vaccinated person should remain under observation for a short interval to ensure that they do not experience an immediate adverse event.

More information

Anaphylaxis: Treatment in the Community

Anaphylaxis: Treatment in the Community : Treatment in the Community is likely if a patient who, within minutes of exposure to a trigger (allergen), develops a sudden illness with rapidly progressing skin changes and life-threatening airway

More information

An allergic reaction is an exaggerated response by the immune system to a foreign substance

An allergic reaction is an exaggerated response by the immune system to a foreign substance ALLERGIC REACTION An allergic reaction is an exaggerated response by the immune system to a foreign substance Anaphylaxis is an unusual or exaggerated allergic reaction; is a life threatening emergency

More information

Terms What is Anaphylaxis? Causes Signs & Symptoms Management Education Pictures Citations. Anaphylaxis; LBodak

Terms What is Anaphylaxis? Causes Signs & Symptoms Management Education Pictures Citations. Anaphylaxis; LBodak Leslie Bodak, EMT-P Terms What is Anaphylaxis? Causes Signs & Symptoms Management Education Pictures Citations Allergic Reaction: an abnormal immune response the body develops when a person has been previously

More information

Anaphylaxis: treatment in the community

Anaphylaxis: treatment in the community : treatment in the community Item Type Guideline Authors Health Service Executive Citation Health Service Executive. : treatment in the community. Dublin: Health Service Executive;. 5p. Publisher Health

More information

Allergic Reactions and Envenomations. Chapter 16

Allergic Reactions and Envenomations. Chapter 16 Allergic Reactions and Envenomations Chapter 16 Allergic Reactions Allergic reaction Exaggerated immune response to any substance Histamines and leukotrienes Chemicals released by the immune system Anaphylaxis

More information

Chapter 8. Learning Objectives. Learning Objectives 9/11/2012. Anaphylaxis. List symptoms of anaphylactic shock

Chapter 8. Learning Objectives. Learning Objectives 9/11/2012. Anaphylaxis. List symptoms of anaphylactic shock Chapter 8 Anaphylaxis Learning Objectives List symptoms of anaphylactic shock Discuss role of immune system in fighting antigens Define allergic response Learning Objectives Describe body s response to

More information

Allergy Management Policy

Allergy Management Policy Allergy Management Policy Food Allergy People with allergies have over-reactive immune systems that target otherwise harmless elements of our diet and environment. During an allergic reaction to food,

More information

Student Health Center

Student Health Center Referring Allergist Agreement Your patient is requesting that the University of Mary Washington Student Health Center (UMWSHC) administer allergy extracts provided by your office. Consistent with our policies

More information

EPIPEN INSERVICE Emergency Administration of Epinephrine for the Basic EMT. Michael J. Calice MD, FACEP St. Mary Mercy Hospital

EPIPEN INSERVICE Emergency Administration of Epinephrine for the Basic EMT. Michael J. Calice MD, FACEP St. Mary Mercy Hospital EPIPEN INSERVICE Emergency Administration of Epinephrine for the Basic EMT Michael J. Calice MD, FACEP St. Mary Mercy Hospital Case #1 NR is an 8 yo male c/o hot mouth and stomach ache after eating jelly

More information

Management of ANAPHYLAXIS in the School Setting. Updated September 2010

Management of ANAPHYLAXIS in the School Setting. Updated September 2010 Management of ANAPHYLAXIS in the School Setting Updated September 2010 What is an Allergy? Allergies occur when the immune system becomes unusually sensitive and over reacts to common substance that are

More information

Who Should Be Premediciated for Contrast-Enhanced Exams?

Who Should Be Premediciated for Contrast-Enhanced Exams? Who Should Be Premediciated for Contrast-Enhanced Exams? Jeffrey C. Weinreb, MD,FACR Yale University School of Medicine jeffrey.weinreb@yale.edu Types of Intravenous Contrast Media Iodinated Contrast Agents

More information

Primary Care practice clinics within the Edmonton Southside Primary Care Network.

Primary Care practice clinics within the Edmonton Southside Primary Care Network. Administration of Immunizations Last Review: November 2016 Intervention(s) and/or Procedure: Practice Setting: Authorized Implementers: Competencies and Educational Requirements: Administration of immunizations

More information

Primary Care practice clinics within the Edmonton Southside Primary Care Network.

Primary Care practice clinics within the Edmonton Southside Primary Care Network. Allergy/Immunotherapy Injections Last Review: November 2016 Intervention(s) and/or Procedure: Administration of allergen injections throughout immunotherapy treatment. Immunotherapy for allergic disease

More information

Allergy Awareness & EpiPen Administration

Allergy Awareness & EpiPen Administration Allergy Awareness & EpiPen Administration 2017-18 Common Allergens in Children! Shellfish! Milk! Egg! Peanut! Tree Nuts! Fish! Soy! Latex! Insect Stings! Exercise What is an allergy? * An allergy is an

More information

TREATMENT OF ANAPHYLACTIC REACTION WITH EPINEPHRINE

TREATMENT OF ANAPHYLACTIC REACTION WITH EPINEPHRINE TREATMENT OF ANAPHYLACTIC REACTION WITH EPINEPHRINE FILE: JGCDC Background: The Bibb County School System recognizes the growing concern with severe life-threatening allergic reactions to food items, latex,

More information

Queen City Independent School District Stock Epinephrine Policy/Protocol

Queen City Independent School District Stock Epinephrine Policy/Protocol Queen City Independent School District Stock Epinephrine Policy/Protocol In accordance with Texas SB 66 as well as Chapter 38 of the Education Code Subchapter E, and the NASN guidelines for stock Epinephrine

More information

Allergy to: Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No For a suspected or active food allergy reaction:

Allergy to: Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No For a suspected or active food allergy reaction: Name: D.O.B.: Allergy to: Weight: lbs. Asthma: [ ] Yes (higher risk for a severe reaction) [ ] No For a suspected or active food allergy reaction: PLACE STudent s Picture here SEVERE SYMPTOMS [ ] if checked,

More information

NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.

NOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section. TITLE SCOPE Provincial APPROVAL AUTHORITY Clinical Operations Executive Committee SPONSOR Pharmacy Services PARENT DOCUMENT TITLE, TYPE AND NUMBER Not applicable DOCUMENT # INITIAL EFFECTIVE DATE REVISION

More information

Emergency Preparedness for Anaphylaxis in School

Emergency Preparedness for Anaphylaxis in School 10/19/2017 Emergency Preparedness for Anaphylaxis in School Michael Corjulo APRN, CPNP, AE-C ASNC April 20, 2017 Objectives Review a brief overview of anaphylaxis related to the school environment Demonstrate

More information

Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights

Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights Epinephrine Intramuscular (IM) Injection Administration EMT Optional Scope Highlights Nor-Cal EMS February 2018 version 1 Special Thank You To Seattle / King County EMS NY State Department of Health, Check

More information

FAUQUIER COUNTY PUBLIC SCHOOLS Policy: Adopted: 04/10/2012 Revised: 07/23/12, 7/08/13, 08/11/14, 08/14/17 ADMINISTERING MEDICINES TO STUDENTS

FAUQUIER COUNTY PUBLIC SCHOOLS Policy: Adopted: 04/10/2012 Revised: 07/23/12, 7/08/13, 08/11/14, 08/14/17 ADMINISTERING MEDICINES TO STUDENTS ACCOMPANYING REGULATION REGULATION 7-5.3(B): ADMINISTRATION OF EPINEPHRINE (Severe Allergic Reaction) 1. Generally 1.1. Fauquier County Public Schools Public Schools ( FCPS) anaphylaxis regulation is developed

More information

Myth: Prior Episodes Predict Future Reactions REALITY: No predictable pattern Severity depends on: Sensitivity of the individual Dose of the allergen

Myth: Prior Episodes Predict Future Reactions REALITY: No predictable pattern Severity depends on: Sensitivity of the individual Dose of the allergen Myth: Prior Episodes Predict Future Reactions REALITY: No predictable pattern Severity depends on: Sensitivity of the individual Dose of the allergen Anaphylaxis Fatalities Estimated 500 1000 deaths annually

More information

ALLERGIC EMERGENCIES 5/8/2015. Objectives for Pharmacists. Patient Case. Objectives for Technicians. Definition of Anaphylaxis.

ALLERGIC EMERGENCIES 5/8/2015. Objectives for Pharmacists. Patient Case. Objectives for Technicians. Definition of Anaphylaxis. ALLERGIC EMERGENCIES Kristina Dawson, PharmD, BCPS Objectives for Pharmacists Describe the immunologic pathways to cause an allergic response Identify the most common triggers to cause Choose the appropriate

More information

GET TRAINED. A program for school nurses to train school staff to administer epinephrine using an auto-injector

GET TRAINED. A program for school nurses to train school staff to administer epinephrine using an auto-injector GET TRAINED 2015 A program for school nurses to train school staff to administer epinephrine using an auto-injector Get Trained 2016 Updates Information in this presentation was reviewed and updated in

More information

Policy for the Treatment of Anaphylaxis in Adults and Children

Policy for the Treatment of Anaphylaxis in Adults and Children Policy for the Treatment of Anaphylaxis in Adults and Children June 2008 Policy Title: Policy for the Treatment of Anaphylaxis in Adults or Children Policy Reference Number: PrimCare08/17 Implementation

More information

Shelley Westwood, RN, BSN

Shelley Westwood, RN, BSN Shelley Westwood, RN, BSN The body requires a constant supply of oxygen for survival. AMERICAN RED CROSS FIRST AID RESPONDING TO EMERGENCIES FOURTH EDITION Copyright 2006 by The American National Red Cross

More information

Emergency Department Guideline. Anaphylaxis

Emergency Department Guideline. Anaphylaxis Emergency Department Guideline Inclusion criteria: 1. Acute onset of an illness (minutes to hours) with a AND (b OR c): a. Skin and/or mucosa (pruritus, flushing, hives, angioedema) b. Respiratory compromise

More information

Eczema: also called atopic dermatitis; a chronic, itchy, scaly rash not due to a particular substance exposure

Eczema: also called atopic dermatitis; a chronic, itchy, scaly rash not due to a particular substance exposure Allergy is a condition in which the immune system causes sneezing, itching, rashes, and wheezing, or sometimes even life-threatening allergic reactions. The more you know about allergies, the better prepared

More information

SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training

SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY. Administration of Epinephrine Auto-Injector Training SAN JOAQUIN COUNTY EMERGENCY MEDICAL SERVICES AGENCY Administration of Epinephrine Auto-Injector Training Disclaimer: Authorization - EMT Optional Skills Only authorized Emergency Medical Technicians (EMT)

More information

Anaphylaxis. Choosing Wisely with Academic Detailing Conference October 21, 2017

Anaphylaxis. Choosing Wisely with Academic Detailing Conference October 21, 2017 Anaphylaxis Choosing Wisely with Academic Detailing Conference October 21, 2017 Disclosure Natasha Rodney-Cail, Pharmacist, Drug Evaluation Unit DEU funded by the Drug Evaluation Alliance of Nova Scotia

More information

Allergic Emergencies and Anaphylaxis. George Porfiris MD, CCFP(EM),FCFP TEGH

Allergic Emergencies and Anaphylaxis. George Porfiris MD, CCFP(EM),FCFP TEGH Allergic Emergencies and Anaphylaxis George Porfiris MD, CCFP(EM),FCFP TEGH Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted

More information

Allergy Immunotherapy in the Primary Care Setting

Allergy Immunotherapy in the Primary Care Setting Allergy Immunotherapy in the Primary Care Setting New York State College Health Association 2008 COMBINED ANNUAL MEETING October 2008 Mary Madsen RN BC University of Rochester Issues in Primary Care Practice

More information

: ALLERGIC REACTION

: ALLERGIC REACTION 6208.05: ALLERGIC REACTION INTRODUCTION Allergic (hypersensitivity) reactions are most often secondary to an exaggerated immune system response to a harmless foreign antigen (e.g. insect bite or sting,

More information

Allergic reactions anaphylaxis *** CME Version *** Aaron J. Katz, AEMT-P, CIC

Allergic reactions anaphylaxis *** CME Version *** Aaron J. Katz, AEMT-P, CIC Allergic reactions anaphylaxis *** CME Version *** Aaron J. Katz, AEMT-P, CIC www.es26medic.net Some terms Allergic reaction Exaggerated immune system response to an allergen Allergen The thing that causes

More information

Anaphylaxis 5/31/2015

Anaphylaxis 5/31/2015 1 Definition of anaphylaxis Anaphylaxis Jon Kyle Andersen Anaphylaxis is a severe, life-threatening, generalised or systemic hypersensitivity reaction. It is characterised by rapidly developing, life-threatening

More information

Allergic Reactions and Anaphylaxis. William Mapes, NRP, I/C Chief, Brandon Area Rescue Squad Brandon, VT

Allergic Reactions and Anaphylaxis. William Mapes, NRP, I/C Chief, Brandon Area Rescue Squad Brandon, VT Allergic Reactions and Anaphylaxis William Mapes, NRP, I/C Chief, Brandon Area Rescue Squad Brandon, VT Allergy to Anaphylaxis Defined as a histamine-mediated spectrum of physiologic events that include:

More information

Anaphylaxis Emergency Plan (individual)

Anaphylaxis Emergency Plan (individual) Appendix D Anaphylaxis Emergency Plan (individual) Recommendation In schools and other child care settings, each child at risk of anaphylaxis should have an Anaphylaxis Emergency Plan. (See following page.)

More information

ANAPHYLAXIS Following Vaccination. A Severe Adverse Event. Developed for the Grampians Infection Control Group (GRICG) Version 2.

ANAPHYLAXIS Following Vaccination. A Severe Adverse Event. Developed for the Grampians Infection Control Group (GRICG) Version 2. ANAPHYLAXIS Following Vaccination A Severe Adverse Event Developed for the Grampians Infection Control Group () Version 2.0:2014 Adverse Event Following Immunisation Adverse event following immunisation

More information

POLICY MANUAL Section 5 NO: Anaphylaxis/Life Threatening Medical Conditions -POLICY-

POLICY MANUAL Section 5 NO: Anaphylaxis/Life Threatening Medical Conditions -POLICY- Anaphylaxis/Life Threatening Medical Conditions -POLICY- The Board of Education is committed to the principle of providing a safe learning environment for its students. This includes a safe environment

More information

Recognize Anaphylaxis Symptoms

Recognize Anaphylaxis Symptoms Recognize Anaphylaxis Symptoms File: JHCD-F1 Recognize the Common Anaphylaxis Symptoms Sudden difficulty breathing, wheezing Hives, generalized flushing, itching, or redness of the skin, Swelling of the

More information

GET TRAINED. What Would You Do? You have moments to react. Bianca 1/15/2014 GET TRAINED

GET TRAINED. What Would You Do? You have moments to react. Bianca 1/15/2014 GET TRAINED GET TRAINED It s time to GET TRAINED to administer an epinephrine auto-injector in an emergency! What Would You Do? Bianca has a bee sting allergy She is playing in the garden at her friends house She

More information

About the immune system

About the immune system The immune system and anaphylaxis edward.purssell@kcl.ac.uk About the immune system The immune system Protects the body from infectious organisms, foreign bodies and malignancies Surface barriers Innate

More information

EpiPen Training Module:

EpiPen Training Module: EpiPen Training Module: Managing Life Threatening Allergies Chelmsford Public Schools September, 2016 Purpose To provide basic knowledge and skill to unlicensed school personnel to administer epinephrine

More information

EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017

EMT OPTIONAL SKILL. Cell Phones and Pagers. Epinephrine Auto-injector. Course Outline 9/2017 EMT OPTIONAL SKILL Epinephrine Auto-injector Cell Phones and Pagers Be courteous to your classmates! Please set your cell phones and/or pagers to silent or turn them off. Course Outline Introduction and

More information

Anaphylaxis/Latex Allergy

Anaphylaxis/Latex Allergy Children s Acute Transport Service CATS Clinical Guideline Anaphylaxis/Latex Allergy Document Control Information Author D Lutman Author Position Consultant Document Owner E Polke Document Owner Position

More information

Should you have questions or concerns, please contact the Program Supervisor at the location your child is registered.

Should you have questions or concerns, please contact the Program Supervisor at the location your child is registered. Community Services Department, Recreation Division 201 City Centre Drive MISSISSAUGA ON L5B 2T4 mississauga.ca/recreation Dear Parent/Guardian, We are excited to have you join us for camps this season!

More information

PM-03 PED ALLERGY/ANAPHYLAXIS. Protocol SECTION: PM-03 PROTOCOL TITLE: PED ALLERGY/ANAPHYLAXIS REVISED: 01MAY2018

PM-03 PED ALLERGY/ANAPHYLAXIS. Protocol SECTION: PM-03 PROTOCOL TITLE: PED ALLERGY/ANAPHYLAXIS REVISED: 01MAY2018 SECTION: PROTOCOL TITLE: REVISED: 01MAY2018 BLS SPECIFIC CARE: See General Pediatric Care Protocol PM-1 - Determine patient s color category on length based resuscitation tape (Broselow Tape) Epi Pen Protocol

More information

Path2220 INTRODUCTION TO HUMAN DISEASE ALLERGY. Dr. Erika Bosio

Path2220 INTRODUCTION TO HUMAN DISEASE ALLERGY. Dr. Erika Bosio Path2220 INTRODUCTION TO HUMAN DISEASE ALLERGY Dr. Erika Bosio Research Fellow Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research University of Western Australia

More information

As you begin this build-up phase there are several factors to keep in mind concerning your treatment:

As you begin this build-up phase there are several factors to keep in mind concerning your treatment: SLIT IMMUNOTHERAPY INSTRUCTIONS David R. Scott, M.D./William A. Scott, M.D. Congratulations on beginning your new sublingual immunotherapy (SLIT) prescription! The initial 30 doses are advancement doses.

More information

Learning Objectives. Introduction. Allergic Reactions 9/18/2012. Allergies - common problem. Antibody-antigen reaction gone haywire

Learning Objectives. Introduction. Allergic Reactions 9/18/2012. Allergies - common problem. Antibody-antigen reaction gone haywire Chapter 14 Allergies Learning Objectives Describe mechanisms of allergic response, implication for airway management Recognize patient experiencing allergic reaction Describe emergency medical care of

More information

PedsCases Podcast Scripts

PedsCases Podcast Scripts PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Anaphylaxis in Children. These podcasts are designed to give medical students an overview of key topics in pediatrics.

More information

EPI PEN TRAINING KAREN, RN, BSN FARGO SOUTH SCHOOL NURSE

EPI PEN TRAINING KAREN, RN, BSN FARGO SOUTH SCHOOL NURSE EPI PEN TRAINING KAREN, RN, BSN FARGO SOUTH SCHOOL NURSE Why use an Epipen? Anaphylaxis Anaphylaxis is a severe, potentially lifethreatening allergic reaction caused by contact with certain triggers CAUSES

More information

SCHOOL DISTRICT NO. 51 (BOUNDARY) P O L I C Y

SCHOOL DISTRICT NO. 51 (BOUNDARY) P O L I C Y SCHOOL DISTRICT NO. 51 (BOUNDARY) P O L I C Y SECTION TITLE NO. 4020 HEALTH/SAFETY Anaphylaxis (Severe Allergic Reaction) DATE ADOPTED: May 13, 2008 DATE AMENDED: Anaphylaxis is a sudden and severe allergic

More information

MANAGING COMMON PRESENTATIONS OF ALLERGY IN PRIMARY CARE. Helen Bourne Consultant Immunologist

MANAGING COMMON PRESENTATIONS OF ALLERGY IN PRIMARY CARE. Helen Bourne Consultant Immunologist MANAGING COMMON PRESENTATIONS OF ALLERGY IN PRIMARY CARE Helen Bourne Consultant Immunologist AIMS Presentation of Allergic Disease in Adults Rhinitis/ Rhinoconjuctivitis Urticaria and Angioedema Food

More information

St. Joseph s Primary School Numurkah

St. Joseph s Primary School Numurkah St. Joseph s Primary School Numurkah Anaphylaxis Procedure March 2014 Basic Beliefs: Our school community nurtures the development of the whole child. Our School is built on respect and an appreciation

More information

1

1 1 2 3 4 5 6 Scratch and Sniff All About Allergies Doug Jones, MD Program Director, Family Medicine, DHMG What is an allergic reaction? The immune system identifies things that are foreign and protects

More information

ANAPHYLAXIS. Following Vaccination of Adults. A Severe Adverse Event

ANAPHYLAXIS. Following Vaccination of Adults. A Severe Adverse Event ANAPHYLAXIS Following Vaccination of Adults A Severe Adverse Event Developed for the Grampians Infection Control Group () Version 3.0:2018 Target audience This information package is for nurse immunisers

More information

Mast Cell Disorders. Andrew M. Smith, MD, MS

Mast Cell Disorders. Andrew M. Smith, MD, MS Mast Cell Disorders Andrew M. Smith, MD, MS Division of Immunology, Allergy, and Rheumatology University of Cincinnati and Cincinnati VA Medical Centers August 10 and 11, 2012 Disclosures None The contents

More information

Immunocompetence The immune system responds appropriately to a foreign stimulus

Immunocompetence The immune system responds appropriately to a foreign stimulus Functions of the immune system Protect the body s internal environment against invading organisms Maintain homeostasis by removing damaged cells from the circulation Serve as a surveillance network for

More information

Commonwealth of Massachusetts Department of Early Education and Care

Commonwealth of Massachusetts Department of Early Education and Care Commonwealth of Massachusetts Department of Early Education and Care MEDICATION CONSENT FORM 606 CMR 7.11(2)(b) Name of child: Name of medication: Please one of the following: Prescription: Oral/Non-Prescription:

More information

Faith Lutheran College, Redlands Faith in Christ prepared for life A I ANAPHYLAXIS POLICY T H. Last updated June 2017

Faith Lutheran College, Redlands Faith in Christ prepared for life A I ANAPHYLAXIS POLICY T H. Last updated June 2017 F Faith Lutheran College, Redlands Faith in Christ prepared for life A I ANAPHYLAXIS POLICY T H Last updated June 2017 Food Allergy Policy and Procedures Rationale: Within the general community, there

More information

Sierra Sacramento Valley EMS Agency

Sierra Sacramento Valley EMS Agency Sierra Sacramento Valley EMS Agency BLS AUTO-INJECTOR EPINEPHRINE ADMINISTRATION OPTIONAL SKILL (UPDATED 08/2017) In order for PSFA, EMR or EMT personnel to administer auto-injector epinephrine, they must:

More information

Drew University Health Service 36 Madison Avenue Madison, New Jersey Tel: Fax:

Drew University Health Service 36 Madison Avenue Madison, New Jersey Tel: Fax: Dear Student, Enclosed you will find our policies, procedures and student consent form for your allergy immunotherapy. We ask that you read them carefully, sign the consent form, and take the physician

More information

Title: Management of Allergic Reactions after IV Contrast in Magnetic Resonance Imaging

Title: Management of Allergic Reactions after IV Contrast in Magnetic Resonance Imaging ABSTRACT FOR SPS POSTER CASE PRESENTATION K Singer Title: Management of Allergic Reactions after IV Contrast in Magnetic Resonance Imaging Introduction: Children undergoing radiologic imaging frequently

More information

Allergy & Anaphylaxis

Allergy & Anaphylaxis Allergy & Anaphylaxis (why, where, and what to do) Robert H. Brown, M.D., M.P.H. Professor Departments of Anesthesiology, Environmental Health Sciences, Medicine, and Radiology The Johns Hopkins Medical

More information

Systemic Allergic & Immunoglobulin Disorders

Systemic Allergic & Immunoglobulin Disorders Systemic Allergic & Immunoglobulin Disorders Bryan L. Martin, DO, MMAS, FACAAI, FAAAAI, FACP, FACOI Emeritus Professor of Medicine and Pediatrics President, American College of Allergy, Asthma & Immunology

More information

ANAPHYLAXIS POLICY & PROCEDURES

ANAPHYLAXIS POLICY & PROCEDURES PHOENIX P-12 COMMUNITY COLLEGE ANAPHYLAXIS POLICY & PROCEDURES Policy Statement Anaphylaxis is a severe, rapidly progressive allergic reaction that involves various areas of the body simultaneously and

More information

STUDENT HEALTH FORM. Name of Student Birth Date Sex (MM/DD/YY) Entrance Date (MM/DD/YY) Siblings in the School (names and grades)

STUDENT HEALTH FORM. Name of Student Birth Date Sex (MM/DD/YY) Entrance Date (MM/DD/YY) Siblings in the School (names and grades) STUDENT HEALTH FORM If you are a new student enrolling at AISC, please attach a copy of the immunization records & proof of physical exam in the last 12 months & submit the complete form to: Sanja Ilic,

More information

ANAPHYLAXIS EMET 2015

ANAPHYLAXIS EMET 2015 ANAPHYLAXIS EMET 2015 ANA = AGAINST PHYLAX = PROTECTION No standardised definition (they re working on it) All include the similar concept of: A serious, generalised or systemic, allergic or hypersensitivity

More information

SEVERE ALLERGY/ANAPHYLAXIS ACTION PLAN & TREATMENT AUTHORIZATION Appendix F-4A

SEVERE ALLERGY/ANAPHYLAXIS ACTION PLAN & TREATMENT AUTHORIZATION Appendix F-4A PART I - TO BE COMPLETED BY PARENT Student Date of Birth Teacher/Grade Allergy Route of Exposure Contact Ingestion Weight lbs. Inhalation Sting Asthmatic Yes* No *Higher risk for severe reaction Parent

More information

You need to know that we will administer the epi-pen if your child is experiencing ANY of the following symptoms:

You need to know that we will administer the epi-pen if your child is experiencing ANY of the following symptoms: MEDICATION ADMINISTRATION AND FOOD ALLERGY POLICY We want to make you aware of the steps Silver Spring Day School (SSDS) is taking to assure the safety of children with serious allergies or a medical condition.

More information

MABEES. MFR & Basic EMT Epinephrine Study

MABEES. MFR & Basic EMT Epinephrine Study MABEES MFR & Basic EMT Epinephrine Study Acknowledgements This program is a State of Michigan approved special study designed by members of the Oakland County Medical Control Authority American CME developed

More information

Nursing Services Fall 2011

Nursing Services Fall 2011 Nursing Services Fall 2011 RCW 28A.210.320 states life-threatening condition means a health condition that will put the child in danger of death during the school day. Medical Orders Staff Education Student

More information

Glossary of Asthma Terms

Glossary of Asthma Terms HealthyKidsExpress@bjc.org Asthma Words to Know Developed in partnership with Health Literacy Missouri Airways (Bronchi, Bronchial Tubes): The tubes in the lungs that let air in and out of the body. Airway

More information

Medical Directive. Activation Date: July 1, 2011 Review due by: December 1, Medical Director: Date Reviewed: December 1, 2016

Medical Directive. Activation Date: July 1, 2011 Review due by: December 1, Medical Director: Date Reviewed: December 1, 2016 Medical Directive Title: Emergency Treatment of Anaphylaxis / Severe Allergic Reactions to Allergy Injections or Immunizations Assigned Number: 007 Activation Date: July 1, 2011 Review due by: December

More information

Medical Emergencies and Current Management in Dentistry. Prof. Mark Greenwood Newcastle University

Medical Emergencies and Current Management in Dentistry. Prof. Mark Greenwood Newcastle University Medical Emergencies and Current Management in Dentistry Prof. Mark Greenwood Newcastle University Lancaster 1.02.12 PREVENTION! Attitude and environment Usually a clue in the history PREVENTION! Attitude

More information

Transfusion Reactions

Transfusion Reactions Transfusion Reactions From A to T Provincial Blood Coordinating Program Daphne Osborne MN PANC (C) RN We want you to know Definition Appropriate actions Classification Complete case studies Transfusion

More information

للأدوية الأليرجياي ي الارتكاس = medication Allergic reaction to

للأدوية الأليرجياي ي الارتكاس = medication Allergic reaction to 1 / 6 Allergic reaction to medication An allergic reaction to a medication is an unintended immune response to the medication. Symptoms can vary from a mild rash to shortness of breath to death. It is

More information

Epinephrine Auto Injector Self-Administration Authorization Packet for Anaphylaxis (A new packet must be completed yearly)

Epinephrine Auto Injector Self-Administration Authorization Packet for Anaphylaxis (A new packet must be completed yearly) Epinephrine Auto Injector Self-Administration Authorization Packet for Anaphylaxis (A new packet must be completed yearly) Packet Contents: 1. Anaphylaxis Medication Self-Administration Form (requires

More information

Chapter 20 - Immunologic Emergencies

Chapter 20 - Immunologic Emergencies 1 2 3 4 5 6 7 8 9 10 National EMS Education Standard Competencies (1 of 2) Medicine Applies fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an

More information

Food allergens: Challenges for risk assessment

Food allergens: Challenges for risk assessment Food allergens: Challenges for risk assessment Stefano Luccioli, MD Office of Food Additive Safety Center for Food Safety and Applied Nutrition Goals Introduce food allergy Describe challenges for risk

More information

Atrovent Administration

Atrovent Administration Atrovent Administration ICEMA Training 2007 Sherri Shimshy RN OBJECTIVES Describe the pharmacology of Atrovent Identify the indications for use of Atrovent in the Adult Population Identify the indications

More information

West Houston Allergy & Asthma, P.A.

West Houston Allergy & Asthma, P.A. Consent to Receive Immunotherapy (ALLERGY SHOTS) Procedure Allergy injections are usually started at a very low dose. This dose is gradually increased on a regular (usually 1-2 times per week) basis until

More information

Managing Allergies and Anaphylaxis at School EPI-PEN TRAINING FOR SCHOOL PERSONNEL

Managing Allergies and Anaphylaxis at School EPI-PEN TRAINING FOR SCHOOL PERSONNEL Managing Allergies and Anaphylaxis at School EPI-PEN TRAINING FOR SCHOOL PERSONNEL Objective: Attendees will be able to: Increase their knowledge about allergies to food and other allergens. Describe the

More information

ANAPHYLAXIS AND EPIPEN ADMINISTRATION

ANAPHYLAXIS AND EPIPEN ADMINISTRATION ANAPHYLAXIS AND EPIPEN ADMINISTRATION EpiPen Administration This program has been designed for the school staff member who will administer an EpiPen in the event that a student has a life-threatening allergic

More information

Pediatric Allergy Allergy Related Testing

Pediatric Allergy Allergy Related Testing Pediatric Allergy Allergy Related Testing 1 Allergies are reactions that are usually caused by an overactive immune system. These reactions can occur in a variety of organs in the body, resulting in conditions

More information

School Year SEVERE ALLERGY Medical Action Plan (MAP) Student s Name. Date of Birth CONTACT INFORMATION ALLERGIC HISTORY

School Year SEVERE ALLERGY Medical Action Plan (MAP) Student s Name. Date of Birth CONTACT INFORMATION ALLERGIC HISTORY Bus Transportation Office Use ONLY if Needed Bus # Driver Route # Medical File 9758 E Highland Rd. Howell, MI 48843 810-632-2200 phone 810-632-2201 fax School Year SEVERE ALLERGY Medical Action Plan (MAP)

More information

Mast Cell Activation Syndrome

Mast Cell Activation Syndrome Mast Cell Activation Syndrome Clinical Questionnaire Description Today s Date: Patient Name: Please indicate yes or no for the following symptoms and traits: (If you are not familiar with a particular

More information

Recognition & Management of Anaphylaxis in the Community. S. Shahzad Mustafa, MD, FAAAAI

Recognition & Management of Anaphylaxis in the Community. S. Shahzad Mustafa, MD, FAAAAI Recognition & Management of Anaphylaxis in the Community S. Shahzad Mustafa, MD, FAAAAI Disclosures None Outline Define anaphylaxis Pathophysiology Common causes Recognition and Management Definition Acute,

More information

LEARN ABOUT ANOTHER WAY TO TREAT YOUR ALLERGIES

LEARN ABOUT ANOTHER WAY TO TREAT YOUR ALLERGIES LEARN ABOUT ANOTHER WAY TO TREAT YOUR ALLERGIES WHAT ARE ALLERGIES? It s probably not something that you think about, but every time you open your mouth or inhale, tiny particles from the environment that

More information

ASDIN 10th Annual Scientific Meeting Final. COI Disclosure Statement. Intravenous Contrast Media: Basics

ASDIN 10th Annual Scientific Meeting Final. COI Disclosure Statement. Intravenous Contrast Media: Basics COI Disclosure Statement There are no financial relationships or conflicts of interest to disclose with this presentation Melissa Hicks, BA, RT(R)(VI) Vascular Interventional Technologist University of

More information

TREATING ALLERGIES THROUGH EDUCATION

TREATING ALLERGIES THROUGH EDUCATION World allergy week: Allergies and Anaphylaxis Dr Mike Levin Paediatric Asthma and Allergy Division University of Cape Town Red Cross Hospital Agenda Introduction: Allergies in general Food allergies and

More information

Asthma With a Slight Chance of Anaphylaxis

Asthma With a Slight Chance of Anaphylaxis Asthma With a Slight Chance of Anaphylaxis An Update for Alberta Oral Health Professionals Sept 25/13 Presented by Val Olson CRE Community Pediatric Asthma Service Air passes through the: Nose or mouth

More information

Antiallergics and drugs used in anaphylaxis

Antiallergics and drugs used in anaphylaxis Antiallergics and drugs used in anaphylaxis Antiallergics and drugs used in anaphylaxis The H 1 -receptor antagonists are generally referred to as antihistamines. They inhibit the wheal, pruritus, sneezing

More information

CCSD School Nurses. Support of Students with Life Threatening Allergies

CCSD School Nurses. Support of Students with Life Threatening Allergies CCSD School Nurses Support of Students with Life Threatening Allergies The Clark County School District is committed to provide a safe, supportive environment in which all students can learn and achieve.

More information