Epinephrine by Auto-Injector for Severe Allergic Reaction (Anaphylaxis)
17
November

By Adem Lewis / in , , /


[ Silence ] Epinephrine by autoinjector for
severe allergic reaction – anaphylaxis. Things to consider. Identify symptoms of
a severe allergic reaction as indicated on the
emergency action plan. These may include obstructive swelling
of the lips, tongue, and/or throat, trouble swallowing,
shortness of breath or wheezing, turning blue,
drop in blood pressure, feeling faint, confused, weak,
passing out, loss of consciousness, chest pain, a weak pulse,
and/or a sense of impending doom. Given that, when a child is
having a severe allergic reaction, it can be a stressful situation,
it is highly recommended that you familiarize yourself
with this student’s severe allergic reaction
emergency action plan beforehand. In certain circumstances,
the child may have been trained to self-administer
the injection. Check the child’s emergency
action plan for specific details. If your school participates in
a stock epinephrine program, be sure to know your school’s plan
and protocol regarding stock epinephrine
administration. Know the storage locations
of the stock epinephrine and have proper training to
administer the stock epinephrine. Your school nurse or other
licensed healthcare professional must review the epinephrine
administration procedure with you to ensure that you
have the skills to perform this emergency
medication administration. Store the severe allergic reaction
emergency action plan and epinephrine autoinjector
in a location that is easily accessible during a
severe allergic reaction. Be sure to check the expiration date on
the medication package periodically to ensure that the medication is not
expired during an emergency situation. Also, make sure that the
medication is clear and replace the medication
if it is discolored. As this is an emergency situation,
it is important to act quickly while ensuring
everyone’s safety. Procedure for
medication administration. Identify that symptoms of a severe
allergic reaction are present and that, based on the child’s severe allergic
reaction emergency action plan, medication needs to be given. Call for assistance. Ask that another school staff
personnel call 911 or emergency medical services
and notify parent. Remove other students
from the area as necessary. Gather needed supplies and place
on a clean surface near the student. Quickly talk to the student
and evaluate the situation. Prepare the student. Position student providing
as much privacy as possible. The autoinjector can be given through
clothing in most circumstances. Quickly review the medication
administration form, the medical provider or
district protocol form, and the parent/guardian
consent form, if available. As you review the five rights
of medication administration, check the epinephrine autoinjector
and order to be sure it is for the right child, the right medication, the right dose, being given at the right time, and being given by the right route. Wash your hands if possible. In a true emergency situation,
there may not be time to do this step. Put on gloves. Quickly review the five rights
once again while checking the medication to be sure that
it is for the right child, the right medication, the right dose, being given at the right time, and being given by the right route. EpiPen administration. Remove the EpiPen autoinjector
from the container. Remove the blue safety guard
from the pen. Firmly press the orange tip
against the student’s mid-outer thigh until click is felt,
and then hold for 10 seconds. The pen can be given through
clothing in most circumstances. Remove and massage
the area for 10 seconds. Replace the pen back into its
container and place it into an appropriate sharps container or
hand to emergency medical responders. Generic epinephrine
autoinjector administration. Remove the autoinjector
from its container. Remove the caps
labeled 1 and 2. Firmly press the red rounded tip
down against the student’s mid-outer thigh until the needle
penetrates, and hold for 10 seconds. The injector can be given through
clothing in most circumstances. Remove from the thigh and
massage the area for 10 seconds. Take precaution with any
exposed needle while replacing the injector back into its container
using the scoop method, or dispose of the injector directly
into an appropriate sharps container. If alone with the student, and you
have not already called 911 or emergency medical services
and notified parents, do so now. Monitor student’s
pulse and respirations. Once the emergency medical responders
arrive, inform them of the medication administered, including the type of
medication, dose, and the time given. If not done already, dispose of
the injector in an approved sharps disposal container or give to the
emergency medical responders. Remove gloves
and wash hands. Document medication administration in
student’s medication administration log. Follow up with the parent or guardian
and healthcare provider as needed.


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