DIABETES ASTHMA EPI-PEN SEIZURE SYMPTOMS OF LOW BLOOD SUGARS: *Shaking *Sweating *Confusion *Irritable *Dizziness TREATMENT: *Give a quick acting sugar such as juice or regular coke (not diet) *Contact Health Aide and District Nurse *Stay with student. *If incoherent or passes out, call 911 immediately and proceed with seizure precautions ASTHMA SYMPTOMS OF AN ASTHMA ATTACK: *Coughing, Wheezing, Chest Tightness, and/or Shortness of Breath *Administer prescribed medication by inhaler (medication should be inhaled slowly and fully) *Reassure student and attempt to keep him/her calm and breathing slowly and deeply SEEK IMMEDIATE EMERGENCY CARE (911) IF STUDENT: *Coughs constantly *Is unable to speak in complete sentences without taking a breath *Has lips, nails, mucus membranes that are gray or blue *Demonstrates severe retractions and/or nasal flaring *Is vomiting persistently (mucus) *Is severely restless/anxious/panicked *Shows no improvement after 15 minutes EPI-PEN Severe allergic reactions may be triggered by asthma, an insect bite, a drug allergy or a food allergy. Symptoms to watch for: MILD *Rash *Itching *Hives MODERATE *Breathing Difficulty *Wheezing SEVERE *Breathing difficulty *Vascular collapse (shock) *Laryngeal swelling *Cardiac arrest DIRECTIONS FOR EPI PEN USE If this occurs, do the following: *Remove pen from plastic tube *Call 911 *Pull off gray safety cap *Locate Epi-Pen and be prepared *Place black tip on outer thigh to administer. (on outside of clothing) *Inject epinephrine, from Epi-Pen *Using a quick motion, push hard until into outer thigh (use opposite side injector functions from sting). *Hold in place for ten seconds *Notify nurse and parents *Send pen to hospital with student SEIZURE **CALL OFFICE AND STATE ”CALL 911 FOR (student’s name).” *BEGIN TIMING SEIZURE-from beginning to end *EASE CHILD GENTLY TO FLOOR. Clear area around child of anything that could hurt him/her *PROTECT HEAD. Place something soft (like a blanket or jacket) under the head to protect from injury. *TURN CHILD GENTLY ONTO HIS/HER SIDE **DON’T FORCE MOUTH OPEN **DON’T HOLD TONGUE **DON’T PUT ANYTHING IN MOUTH **DON’T RESTRAIN MOVEMENT *When jerking movements stop, let the child rest until full consciousness returns *Breathing may have been shallow during the seizure. This can give the lips or skin a bluish tinge *If breathing does not return, begin CPR