Detailed Action Plan for Anaphylaxis: Identification & Treatment

This document outlines an action plan for managing anaphylaxis, detailing steps to take for both mild to moderate allergic reactions and severe anaphylactic reactions. It includes instructions for recognizing symptoms such as swelling, hives, and abdominal pain, as well as actions like using an EpiPen adrenaline autoinjector and calling emergency services. The plan emphasizes the importance of laying the person flat, administering adrenaline, and seeking immediate medical attention. It also provides guidance on using an EpiPen and highlights the need for observation in a hospital setting. Desklib offers a range of study tools and solved assignments to aid students in understanding healthcare protocols and emergency procedures.

www.allergy.org.au Anaphylaxi
s
ACTIONPLANFOR
Name__NEVE___________________________ For use with EpiPen® adrenaline (epinephrine)
Date of birth: xx/yy/zz
Confirmed allergens:
Family/emergency contact name(s):
1. xxxxx
Mobile Ph: xxxxx
2.yyyyyyyy
Mobile Ph: yyyyyyyy
SIGNS OF MILD TO MODERATE ALLERGIC REACTION
• Swelling of lips, face, eyes • Tingling mouth
• Hives or welts • Abdominal pain, vomiting - these are
signs of anaphylaxis for insect allergy
ACTION FOR MILD TO MODERATE ALLERGIC REACTION
• For insect allergy - flick out sting if visible
• For tick allergy seek medical help or freeze tick and let it drop off
• Stay with person, call for help and locate adrenaline autoinjector
• Give antihistamine (if prescribed)
• Phone family/emergency contact
WATCH FOR ANY ONE OF THE FOLLOWING SIGNS OF
ANAPHYLAXIS (SEVERE ALLERGIC REACTION)
Plan prepared by doctor or nurse practitioner (np):
The treating doctor or np hereby authorises
medications specified on this plan to be given
according to the plan, as consented by
• Difficult or noisy breathing
• Swelling of tongue
• Swelling or tightness in throat
• Wheeze or persistent cough
• Difficulty talking or hoarse voice
• Persistent dizziness or collapse
• Pale and floppy (young children)
the patient or parent/guardian.
Whilst this plan does not expire, review is
recommended by DD/MM/YY
Signed: zzzz
Date: zzzzzzz
ACTION FOR ANAPHYLAXIS
1 LAY PERSON FLAT - do NOT allow them to stand or walk
• If unconscious or pregnant, place in recovery position
- on left side if pregnant, as shown below
• If breathing is difficult allow them to sit with legs outstretched
• Hold young children flat, not upright
2 GIVE ADRENALINE AUTOINJECTOR
3 Phone ambulance - 000 (AU) or 111 (NZ)
4 Phone family/emergency contact
5 Further adrenaline may be given if no response after 5 minutes
6 Transfer person to hospital for at least 4 hours of observation IF
IN DOUBT GIVE ADRENALINE AUTOINJECTOR
Commence CPR at any time if person is unresponsive and not breathing normally
How to give EpiPen®
Form fist around EpiPen®
1 and PULL OFF BLUE
SAFETY RELEASE
2 Hold leg still and PLACE
ORANGE END against
outer mid-thigh (with or
without clothing)
Photo
Mild to moderate allergic reactions (such
as hives or swelling) may not always occur
before anaphylaxis

Note: If adrenaline is accidentally injected (e.g. into a thumb) phone your local poisons information centre.
Continue to follow this action plan for the person with the allergic reaction.
ALWAYS GIVE ADRENALINE AUTOINJECTOR FIRST, and then
asthma reliever puffer if someone with known asthma and allergy to food, insects or
medication has SUDDEN BREATHING DIFFICULTY (including wheeze, persistent cough or
hoarse voice) even if there are no skin symptoms
Asthma reliever medication prescribed:Y N
hold in place for 3 seconds
REMOVE EpiPen®
EpiPen® is prescribed as follows:
• EpiPen® Jr (150 mcg) for children 7.5-
20kg
• EpiPen® (300 mcg) for children over
20kg and adults