Transcript Anaphylaxis: Life Threatening Allergic Reactions

Anaphylaxis:
Life Threatening Allergic Reactions
School Staff Training
2012-2013
Anaphylaxis Legislation
Minnesota Statutes 121A.22
This legislation requires that all public and non public schools that are
subject to ADA must provide the following information to school staff:
There is an increasing incidence of children with a history of anaphylaxis.
School is responsible for providing for student safety and making
reasonable accommodations.
Students must have access to their emergency medications during the
school day.
Staff must be trained to recognize symptoms of anaphylaxis and how to
provide emergency care.
What is Anaphlyaxis?
A severe, allergic reaction that can
affect the whole body.
Occurs in approximately 20 per
100,000 person annually
What causes Anaphylaxis?
Having a severe allergy to:
Foods
Insect stings
Medications
Food allergy is the most
common in children.
Peanuts and tree nuts
are the most common
foods to cause
a severe reaction.
Why should you be concerned?
We can not predict how severe an allergic
reaction will be.
Severity of symptoms can change quickly.
Each episode is potentially life threatening.
What Should You Do?
1.
Work to prevent exposure to allergens
Handwashing
Wash hands with soap and water:
Before eating to remove the germs on your hands that may make you sick.
After eating to remove the residue of food allergens that may be on your hands.
Hand sanitizers remove some germs but do not remove the small particles that cause food allergies.
Food Storage
Monitor access to food stored in the classroom.
Dispose of perishable food.
Store non-perishable food in a container with a tight lid.
Snack Time
Food and beverages should not be shared or traded.
Clean surfaces where food has been eaten with a disposable wipe. Obtain disposable wipes from
the Nutrition Services Supervisor.
Be Aware and Prepared
Be aware of students in the classroom with known food allergies and anaphylaxis. Follow health
plans developed for students.
Limit classroom celebrations and projects that involve food.
Potential Food Allergens
in the Classroom
• Of food allergy reactions occurring at school, over 79% occur in the
classroom, most often to due food used for projects or
celebrations.
Cupcakemilk, egg,
wheat, soy
Paper mâchéwheat
7/21/2015
Pizza- milk,
egg, wheat,
soy
Bird feedernuts, tree nuts
Candy- milk, soy,
wheat, nuts, tree
nuts
Play-Dohwheat
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What Should You Do?
Know the Top 8 Food Allergens:
What Should You Do?
2. Recognize an allergic reaction in its early
stages
Mouth—Itching/swelling of the lips and tongue
Throat—Itching, tightness, hoarseness, cough
Skin—Hives, itchy rash, swelling of face
Lungs—Trouble breathing, coughing, sneezing
Stomach—Nausea, cramps, vomiting diarrhea
Recognizing Symptoms:
What Should You Do?
3. Know when to use emergency medication.
The Epinephrine Auto-Injector is the treatment of
choice for anaphylaxis. This is a prescription
medication and can only be used for the student it is
prescribed to.
For Students With
Medication at School:
Follow health plan developed for the student
Health plans are developed with orders from
the healthcare provider and input from the
parent.
For Students Without
Medication at School
If a student does not have an EpiPen available or
has never been diagnosed with Anaphylaxis, but
you suspect a severe allergic reaction:
Call 911 immediately
What Should You Do?
4. Know where to find the student’s EpiPen
EpiPens are generally kept in the health office.
EpiPens are sent with students on field trips.
What Should You Do?
5. Learn how to use an EpiPen
EpiPens are easy to use and designed for self
administration in emergencies.
The medication in an EpiPen works quickly to
reverse the symptoms of anaphylaxis, but the
effects only last for 10-15 minutes.
What Should You Do?
This video shows how to use an EpiPen.
1. Form a fist around the auto injector and remove
the blue cap which will unlock the safety device.
2. Swing the EpiPen into the outer thigh and push
in the orange tip firmly until you hear it click.
3. Hold it there for 10 seconds to make sure all
medication is delivered.
What Should You Do?
4. Get emergency medical attention right away.
The effects of the EpiPen only lasts for 10-15
minutes.
5. Call the parents of the student and inform
them of the allergic reaction.
6. Call the School Nurse.
Summary
1.
2.
3.
4.
If a student is exposed to their allergen
and/or
If you see signs of a severe allergic reaction
then
Give EpiPen in the thigh muscle
Call 911
Call parent/guardian
Call the school nurse
References
• Minnesota Office of the Reviser or Statutes
– https://www.revisor.mn.gov/statutes/?id=121A.2205
• Accommodating Children with Special Dietary Needs in the School
Nutrition Programs: Guidance for School Food Servide Staff, United States
Department of Agriculture Food and Nutrition Service, Fall 2001
• NASN—National Association of School Nurses
--www.nasn.org
• EpiPen Instructional Video
--http://www.epipen.com
• Food Allergy and Anaphylaxis Network
– www.foodallergy.org
• Anaphylaxis and Food Allergy Association of Minnesota
– http://www.minnesotafoodallergy.org
1/8/2012
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