anaphylaxis education for a life threatening allergic reaction natasha paul bsc,bscn, rn public...
TRANSCRIPT
Anaphylaxis
Education for a Life Threatening Allergic Reaction
Natasha Paul BSc,BScN, RN Public Health Services
Objectives Identify participant at risk Define anaphylaxis Describe the signs and symptoms Identify triggers for anaphylaxis Discuss treatment of anaphylaxis Discuss avoidance strategies Be able to use an epinephrine auto-
injector
Goal for Recreational Programs
To create an “allergy-safe” environment
Prevention of an allergic emergency through Education Awareness Training
Identify the Participants at Risk Recognize Particpants
Picture MedicAlert® bracelet Anaphylaxis emergency plan
Know the symptoms
What is Anaphylaxis? Medical Emergency A severe life threatening allergic
reaction Death can occur within minutes Can involve more than one body
system
Respiratory sneezing cough shortness of
breath wheeze hoarse voice
trouble speaking
trouble swallowing
throat tightness chest
pain/tightness
Key Messages Unpredictable Never ignore early symptoms Antihistamines do not prevent
anaphylaxis Asthma medicine do not prevent
anaphylaxis Assistance may be required to use
the auto-injector
Factors that increase the risk of a severe allergic reaction
Asthma
No or delayed use of epinephrine
Epinephrine Hormone that is produced
naturally in the body “fright & flight” Drug of choice to treat anaphylaxis No contraindications Will not cause harm if given
When to give Epinephrine Known exposure Any inside symptoms Generalized hives or swelling If in doubt, give epinephrine
Managing Anaphylaxis Administer epinephrine (note
expiry date) Lie the person on his/her side Call 911 Call parents If reaction continues or worsens, a
second dose of epinephrine may be given in 10-20 minutes
Location of the Epinephrine Auto-injector Places that are easily accessible Check expiry date located on Epi NOT in locked cupboards or drawers Individuals should carry their own
auto-injector Extra auto-injectors in emergency
first-aid kits (if possible)
Avoidance Strategies(Food Allergens)
Do not eat the allergic food Supervision of young children while
eating No trading or sharing of food,
utensils, or containers Wash hands before and after eating Disposal of food items after eating
Avoidance Strategies Table surfaces cleaned after eating Ingredient list for food purchased “No Eating” rule on buses Non-food items or special activity to
reward or celebrate participants Communication or Reminders - “It is
that time of year again…”via Community Center/HRM using bulletins and newsletters outlining the program’s anaphylaxis plan/expectations.
Avoidance Strategies(Insect Stings)
Eat in designated areas inside the facility
Carry epinephrine auto-injector Cover and empty garbage bins Replace or repair broken screens
on windows
Remember: Epi pens should not be expired or
close to expiration date. Inform parents if they are.
If you overhear a child say he has an allergy but you are unaware of this fact – follow it up.
Legalities…(Providing Treatment)
Volunteer Services Act: Chapter 497 (Revised status 1989, amended
1992 C34)
An Act Respecting the Protection of Persons
Who Voluntarily Render Services or
Assistance
Legalities…(Providing Treatment)
Volunteer Services Act: Chapter 497 (Revised status 1989, amended 1992 C34)
Emergency assistance to person Where, in respect of a person who is ill, injured
or unconscious as a result of an accident or other emergency, a volunteer renders services or assistance at any place, the volunteer is not liable for damages for injuries to or the death of that person alleged to have been caused by an act or omission on the part of the volunteer while rendering services or assistance, unless it is established that the injuries or death were caused by gross negligence on the part of the volunteer, and no proceeding shall be commenced against a volunteer which is not based upon his alleged gross negligence. R.S., c. 497, s. 3.
Legalities…
Canadian Charter of Rights and Freedoms provides: (s.15)
“15. (1) Every individual is equal before and under the law and has the right to the equal protection and equal benefit of the law without discrimination and, in particular, without discrimination based on race, national or ethnic origin, colour, religion, sex, age or mental or physical disability. individual is equal before and under the law and has the right to equal protection and equal benefit of the law without discrimination and in particular, without discrimination based on …physical disability.”
Legalities…
Canadian Charter of Rights and Freedoms provides: (s.15)
(2) Subsection (1) does not preclude any law, program or activity that has as its object the amelioration of conditions of disadvantaged individuals or groups including those that are disadvantaged because of race, national or ethnic origin, colour, religion, sex, age or mental or physical disability.
How to use the EpiPen®
Remove EpiPen Auto-Injector from carrier tube Hold firmly with orange tip pointing downward Remove blue safety release (cap) Push Orange tip firmly into mid-outer thigh
until you hear a “click” Hold on thigh for several seconds (count to 10) Built in needle protection (orange needle
protector extends to cover needle to protect you from a needle stick injury)
Remove and return to storage container Bring to hospital for disposal
How to use the Twinject™ Pull of Green cap #1 to see a red
tip Pull of Green cap #2 Press GREY tip against mid outer
thigh until a click is heard Hold in place for a count of 10 Remove
How to use the Twinject™ Suggestion: Start taking Second
dose apart now and make it available.
Once Ambulance arrives, place Second Dose or unused Epinephrine in case and give to Ambulance Attendants.
Website Resources www.allergysafecommunities.ca www.epipen.ca www.twinject.ca www.anaphylaxis.org www.foodallergy.org
ReferenceAnaphylaxis in Schools & Other
Settings(2nd Edition, 2009)
Can be purchased for $15 (plus applicable taxes and shipping and handling) from any of the following
organizations: Allergy/Asthma Information Association (AAIA) Anaphylaxis Canada Association québécoise des allergies alimentaires
(AQAA) Canadian Society of Allergy and Clinical Immunology
(CSACI)
The proceeds from the sale of this document will help these non-profit organizations continue their work in anaphylaxis education, support, and research.