Annual compulsory education Anaphylaxis Annual compulsory education

Learning Objectives Know the definition and the signs & symptoms of anaphylaxis Know the non-pharmacological treatments for anaphylaxis Become familiar with the BSF policy on anaphylaxis

MAY BE LIFE THREATENING Anaphylaxis Otherwise known as “Anaphylactic Shock” A severe generalized hypersensitivity reaction affecting multiple organ systems MAY BE LIFE THREATENING Generally begins within a few minutes or up to 30 minutes, but almost always within 2 hours after antigen exposure

anaphylaxis Anaphylaxis usually occurs on the 2nd or 3rd exposure to an allergen – however it can occur on a first exposure as well Changes/reactions develop over several minutes and usually involve at least 2 body systems (affecting the skin, respiration, circulation) Unconsciousness is rarely the sole manifestation of anaphylaxis – it occurs only as a late event in severe cases

Anaphylaxis – signs & symptoms

Non-pharmacological management Call a Code Blue Lay the person down with feet elevated Establish and oral airway & remove restrictive clothing Give high flow oxygen using non-rebreather mask Stay with the person Offer reassurance until emergency personnel arrive

Pharmacological Management BSF Policy (RC-04-01-49) Epinephrine is ONLY used for anaphylaxis POST influenza vaccination or POST Pneumococcal vaccination Call Code Blue & request 9-1-1 be called Administer Epinephrine as prescribed Stay with the resident until emergency personnel arrive

epinephrine Listed on BSF Standing Order under ”Influenza Management &Pneumococcal Vaccine” Epinephrine 1:1000 given 0.5 ml intramuscular in the opposite limb of reaction to vaccine

Who to report to? Physician Resident’s Family Pharmacy Unit Clerk Program Manager Director of Nursing/Care Administrator

documentation Total Team Record (TTR) Medication Administration Record (MAR) Red Allergy Card Name Labels Identification Bracelet

All RNs & LPNs must complete this Compulsory In-Service annually Bsf requirements All RNs & LPNs must complete this Compulsory In-Service annually