1. Annual compulsory education
Anaphylaxis
Annual compulsory education

2. 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

3. 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

4. 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

5. Anaphylaxis – signs & symptoms

6. 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

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

8. 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

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

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

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