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Download a PDF form to create an emergency care plan for someone with food allergy or anaphylaxis. The form includes symptoms, medications, doses, and instructions for using epinephrine auto-injectors.
FORM PROVIDED COURTESY OF FOOD ALLERGY RESEARCH & EDUCATION (FARE) (FOODALLERGY.ORG) 5/2020 1. INJECT EPINEPHRINE IMMEDIATELY. 2. Call 911. Tell emergency dispatcher the person is having anaphylaxis and may need epinephrine when emergency responders arrive. • Consider giving additional medications following epinephrine: » Antihistamine
FOOD ALLERGY & ANAPHYLAXIS EMERGENCY CARE PLAN HOW TO USE AUVI-Q® (EPINEPHRINE INJECTION, USP), KALEO 1. Remove Auvi-Q from the outer case. 2. Pull off red safety guard. 3. Place black end of Auvi-Q against the middle of the outer thigh. 4. Press firmly, and hold in place for 5 seconds. 5.
For Severe Allergy and Anaphylaxis What to look for If child has ANY of these severe symptoms after eating the food or having a sting, give epinephrine. • Shortness of breath, wheezing, or coughing • Skin color is pale or has a bluish color • Weak pulse • Fainting or dizziness • Tight or hoarse throat
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Download and print a free PDF form to create an allergy action plan for yourself or your child. The form includes information on allergy symptoms, medications, doses, and emergency contacts.
Remove grey caps labeled “1” and “2”. Place red rounded tip against mid-outer thigh. Press down hard until needle penetrates. Hold for 10 seconds. Remove from thigh. Treat someone before calling Emergency Contacts. The first signs of a reaction can be mild, but symptoms can get worse quickly.
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related to: fare allergy form pdfSee More Information About A Now Approved Food Allergy Treatment For Pediatrics & Adults. Learn More About A Newly Approved Treatment For Patients Diagnosed With Food Allergies.
