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Attach student photo hereALLERGIES/ANAPHYLAXIS MEDICATION ADMINISTRATION FORM Provider Medication Order Form Office of School Health School Year 20192020 Please return to school nurse. Forms submitted.

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Related content

Allergies - Schools.nyc.gov
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Allergies - Schools.nyc.gov
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If the patient's record of the details of the allergic reaction is incomplete or the patient is not provided with written information, then the patient may either remain at risk of inappropriately receiving the same or a cross-reacting drug again, sometimes with catastrophic consequences, or a different drug may be ...

Epinephrine is the only effective and first-line treatment for anaphylaxis.

International guidelines agree that adrenaline (epinephrine) is first line treatment for anaphylaxis.

Epinephrine (1 mg/ml aqueous solution [1:1000 dilution]) is the first-line treatment for anaphylaxis and should be administered immediately. In adults, administer a 0.3 mg intramuscular dose using a premeasured or prefilled syringe, or an autoinjector, in the mid-outer thigh (through clothing if necessary).

Incomplete or inaccurate drug-allergy histories can be detrimental to patient safety and lead to medication errors.

Most drug allergies cause minor skin rashes and hives. These symptoms may occur right away or hours after receiving the drug. Serum sickness is a delayed type of reaction that occurs a week or more after you are exposed to a medicine or vaccine. Drug allergies can also be associated with low blood counts.

Epinephrine is the medication of choice for the first-aid treatment of anaphylaxis. Through vasoconstrictor effects, it prevents or decreases upper airway mucosal edema (laryngeal edema), hypotension, and shock. In addition, it has important bronchodilator effects and cardiac inotropic and chronotropic effects.

The allergy / sensitivity box on the medicines chart must state the allergy status of the patient. The box should never be left blank. If the allergies box has not been completed, medicines should not be administered and the prescription should be referred back to the prescriber.

H1 antihistamines — Epinephrine is first-line treatment for anaphylaxis, and there is no known equivalent substitute. H1 antihistamines (such as diphenhydramine or cetirizine) relieve itch and hives.

H1 and H2 antihistamines Although oral antihistamines are considered to be the mainstay of treatment for minor allergic reactions, their slow onset of action and limited effect on symptoms makes them a second- line agent for anaphylaxis (16–18).

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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