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

2. Signs and Symptoms Swelling of the lips, throat and/or tongue Breathing troubles (hoarse voice, coughing, wheezing, shortness of breath) Drop in blood pressure, pale, weak pulse, possible fainting Other symptoms seen in prior reaction (rash, vomiting, etc.)

3. Emergency Actions Administer auto-injector Remove gray cap - Epipen® Remove green and red caps - Twinject® Place black tip of Epipen®/gray tip of Twinject ® against patient’s outer thigh. Press firmly until you hear a click. After click, hold for 10 seconds. May be given through clothing.

4. 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.

5. Emergency Actions Call 911 – 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.

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