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  • Anaphylaxis Emergency Action Plan - The American Academy Of Bb - Aaaai

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Anaphylaxis Emergency Action Plan Patient Name: Age: Allergies: Asthma Yes (high risk for severe reaction) No Additional health problems besides anaphylaxis: Concurrent medications: MOUTH THROAT*.

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How to fill out the Anaphylaxis Emergency Action Plan - The American Academy Of Bb - Aaaai online

The Anaphylaxis Emergency Action Plan is crucial for ensuring the safety of individuals at risk of severe allergic reactions. This guide will provide you with clear instructions on how to fill out the form online effectively.

Follow the steps to complete your Anaphylaxis Emergency Action Plan online.

  1. Press the ‘Get Form’ button to access the Anaphylaxis Emergency Action Plan and open it in your designated document editor.
  2. Fill in the patient’s name and age at the top of the form. Ensure that accurate information is provided for each section.
  3. List all known allergies in the specified section. This includes both food and environmental allergens.
  4. Indicate whether the patient has asthma by selecting 'yes' or 'no.' Note that selecting 'yes' indicates a higher risk for severe reactions.
  5. Document any additional health problems that may affect the patient's anaphylaxis management in the space provided.
  6. List all concurrent medications the patient is currently taking. Ensure this information is current and accurate.
  7. In the symptoms section, review the specified symptoms of anaphylaxis. Be aware that not all symptoms need to be present, and some can be life-threatening.
  8. In the emergency action steps, confirm that you are prepared to inject epinephrine if necessary. Select the appropriate auto-injector and dosage from the available options.
  9. Include emergency contact information for up to three individuals, providing their home, work, and cell phone numbers.
  10. Add any relevant comments in the designated section to further clarify the patient's specific needs or concerns.
  11. Ensure that a qualified medical professional signs the document, providing their date and phone number. If the patient is under 18 years old, a parent or guardian must also sign and date.
  12. Finally, review the completed form for accuracy. Save your changes, download, print, or share the form as needed.

Complete your Anaphylaxis Emergency Action Plan online to ensure you are prepared for emergencies.

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You might be given a blood test to measure the amount of a certain enzyme (tryptase) that can be elevated up to three hours after anaphylaxis. You might be tested for allergies with skin tests or blood tests to help determine your trigger.

Call 999 for an ambulance immediately (even if they start to feel better) mention that you think the person has anaphylaxis. Remove any trigger if possible for example, carefully remove any stinger stuck in the skin. Lie the person down flat unless they're unconscious, pregnant or having breathing difficulties.

Epinephrine is the first-line treatment in cases of anaphylaxis. Other medications have a delayed onset of action. Epinephrine is generally prescribed as an auto-injector device that is relatively simple to use. Anaphylaxis can occur immediately or up to two hours following exposure to an allergen.

Protocol for Treatment of Anaphylaxis. Diagnose the presence or likely presence of anaphylaxis. Place patient in recumbent position and elevate lower extremities. Monitor vital signs frequently (every two to five minutes) and stay with the patient.

The diagnosis of anaphylaxis is typically made when symptoms occur within one hour of exposure to a specific antigen. Confirmatory testing using serum histamine and tryptase levels is difficult, because blood samples must be drawn with strict time considerations.

At the first signs of an allergic reaction, locate the customer's epinephrine auto-injector (e.g. ®, AUVI-Q®). Both the customer and the food service business/worker have a responsibility to prevent an allergic reaction, so the customer should have an epinephrine auto-injector with them.

ASCIA Action Plans were first developed in 2003 to standardise the recognition of signs and symptoms of anaphylaxis and provide easy to follow steps for the emergency treatment of allergic reactions, including anaphylaxis.

The first step for treating anaphylactic shock will likely be injecting epinephrine (adrenaline) immediately. This can reduce the severity of the allergic reaction. At the hospital, you'll receive more epinephrine intravenously (through an IV). You may also receive glucocorticoid and antihistamines intravenously.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232