1. Anaphylactic Allergies  Common Causes  Foods (peanuts, tree nuts, seafood)  Insect stings

2. Signs of an Emergency Occur shortly after exposure to an allergen:  Throat: itching/tightness in throat; hoarseness; hacking cough  Lungs: shortness of breath, repetitive coughing, wheezing, difficulty breathing  Heart: lightheaded, loss of consciousness, paleness  Mouth: swelling of tongue/lips, blue/grey color of lips  Skin: rapid onset of hives or generalized itchy rash  Gut: vomiting, diarrhea, cramps  Mental:sudden sense of panic after an exposure

3. Who can administer the EpiPen®? 1. Student 2. School Nurse 3. First-Aid Back-up 4. Medication Back-up 5. School Administrators 6. Trained teachers on certain field trips 7. Trained bus drivers 8. Trained coaches when a nurse is not available

4. Emergency Actions  Administer auto-injector  Remove blue cap from EpiPen®  Place orange tip of EpiPen® against patient’s outer thigh. Press firmly until you hear a click.  After click, hold for 10 seconds.  May be given through clothing.

5. Students with Known Anaphylaxis  Administer epinephrine auto-injector based school nurse guidance  Follow individualized classroom health plan for Anaphylaxis

6. Be Careful  NEVER touch tip of auto-injector.  Put used auto-injector in a place that it can’t stick another person. If placing in tube, place injector on flat surface and slide it into the tube. EMS will dispose.

7. Emergency Actions  Call 911 – tell dispatcher that and EpiPen® has been given.  Student must go to hospital even if they seem better.  Call school nurse or office if nurse not available.  Stay with student. Reassure and keep in a comfortable position.  Make sure parents are notified.

8. Follow-up Actions  Meet with school nurse to complete paperwork