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Life-Threatening Allergies & Epipen Training

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Life-Threatening Allergies & Epipen Training Doreen Crowe, RN, BSN, MEd Nurse Leader Wilmington Public Schools PURPOSE To provide unlicensed* school personnel with ... – PowerPoint PPT presentation

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Title: Life-Threatening Allergies & Epipen Training


1
Life-Threatening Allergies Epipen Training
  • Doreen Crowe, RN, BSN, MEd
  • Nurse Leader
  • Wilmington Public Schools

2
PURPOSE
  • To provide unlicensed school personnel with
    basic knowledge and skills to administer
    epinephrine by auto-injection in a
    life-threatening situation.
  • Refers to Medical license

3
OBJECTIVES
  • Identify common causes of allergic emergencies
  • Accurately recognize general and student-specific
    warning signs of allergic emergency
  • Accurately identify student for whom the
    epinephrine is prescribed

4
OBJECTIVES (cont.)
  • Accurately read and interpret the emergency
    medication administration plan
  • Correctly follow directions on the medication
    administration plan
  • Accurately read the epinephrine label and follow
    directions from the label

5
OBJECTIVES (cont.)
  • Administer epinephrine by auto-injector
  • Safely handle epinephrine in an auto-injector
  • Accurately describe the schools plan for
    responding to emergencies
  • Access resources appropriately, including
    emergency medical services, school nurse, parents
    and physician

6
WHAT ARE COMMON CAUSES OF ALLERGIC EMERGENCIES?
  • Food
  • Insect Stings
  • Medication
  • Latex
  • Exercise (uncommon)

7
FOOD
  • Peanut
  • Tree Nut (walnuts, cashew, pecan, hazelnut,
    almond)
  • Milk
  • Egg
  • Fish
  • Shellfish
  • Soy
  • Wheat
  • Eight Foods account for 90 of all
    food-allergic reactions

8
INSECT STINGS
  • Bees
  • Wasps
  • Yellow Jackets
  • Hornets
  • Fire Ants

9
MEDICATION
Anesthesia
Antibiotics
10
LATEX
Balloons
Gloves
Band-Aids
11
EXERCISE
  • Occurs rarely

12
WHAT IS ANAPHYLAXIS?
  • A potentially life-threatening medical condition
    occurring in allergic individuals after exposure
    to an allergen
  • May occur immediately (seconds) or delayed
    (hours)
  • Individuals with Asthma are at an increased risk
    of a severe reaction

13
WHAT ARE SYMPTOMS OF ANAPHYLAXIS?
  • Skin
  • Hives
  • Itchy rash
  • Swelling of
  • face or
  • extremities
  • Throat
  • Itchy throat
  • Tight throat
  • Hoarseness
  • Drooling
  • Lungs
  • Short of
  • breath
  • Wheezing
  • Repetitive
  • cough
  • Mouth
  • Itchy, tingling or swelling of mouth, tongue or
    lips
  • Stomach
  • Abdominal cramps
  • Nausea
  • Vomiting
  • Diarrhea
  • Heart
  • Faint
  • Weak pulse
  • Low blood
  • pressure
  • Pale or blue
  • Other
  • Anxiety
  • Panic
  • Itchy,
  • watery
  • red eyes

Potentially Life-threatening
14
HOW MIGHT A CHILD DESCRIBE A REACTION?
  • My tongue is itching, burning or tingling
  • My mouth feels funny
  • Theres something stuck in my throat
  • My lips feel tight
  • Theres a frog in my throat

15
WHAT IS A BIPHASIC REACTION?
  • A second wave of symptoms that may occur two to
    four hours later

16
WHAT IS EPINEPHRINE?
  • Epinephrine is the medicine of choice for
    treatment of anaphylaxis
  • Epinephrine is also known as Adrenalin
  • It quickly constricts blood vessels, raising
    blood pressure
  • It relaxes smooth muscles in lungs to improve
    breathing

17
WHAT IS AN EPIPEN?
  • An auto-injector that administers Epinephrine
  • There are two strengths
  • Adult 0.3mg
  • Child 0.15mg

Older Packaging
Newer Packaging
18
How do you administer an Epipen?
  • Using the 5 Rights
  • Right Student
  • Right Medication
  • Right Dose
  • Right Route
  • Right Time

Step 1
Remove Cap
Step 2
Swing jab into outer thigh
19
RIGHT STUDENT
  • Identify the student with a known allergy
  • Accurately read and interpret student specific
    emergency medication administration plan
  • Accurately read the prescription label on
    epinephrine package

20
RIGHT MEDICATION
  • Epipen
  • OR
  • Epipen Jr.

21
RIGHT DOSE
  • Adult 0.3 mg
  • Child 0.15mg
  • Lasts approximately 15 minutes

22
RIGHT ROUTE
  • Large Outer Thigh
  • May be administered through clothing
  • Hold in place for 5-10 seconds
  • Remove carefully
  • Massage area where administered

23
RIGHT TIME
  • Student is in Anaphylaxis

24
EPIPEN STORAGE HANDLING
  • Properly store at room temperature
  • Color in window will be clear
  • Avoid accidental injection to yourself or you
    will require immediate attention at an Emergency
    Room
  • Note time administered give to Emergency
    Medical Services upon arrival

25
SCHOOL PROTOCOL
  • Call 9-911 from a school phone
  • Specify the problem A student is in Anaphylaxis
    was given an Epipen
  • Specify entrance
  • Note time of Epipen administration hand over to
    EMS upon arrival
  • Call parent to meet student at closest medical
    facility

26
LIABILITY
  • Epipen Trained personnel are protected by the
    Good Samaritan law
  • Refresher training is renewable annually

27
APPROPRIATE RESOURCES
  • School Nurse
  • School Physician
  • Parent
  • Emergency Medical Services (EMS)

28
There is no cure for food allergies. Strict
avoidance of the offending allergen is the key to
preventing a life-threatening reaction.
29
REFERENCES
  • http//www.foodallergy.org
  • Managing Life Threatening Food Allergies in
    Schools, 2002, Massachusetts Department of
    Education, available at http//www.doe.mass.edu/cn
    p/news02/allergy.pdf
  • American Academy of Allergy, Asthma and
    Immunology, Anaphylaxis in Schools and Other
    Child-Care Settings, available at
    http//www.aaaai.org/media/resources/academy_state
    ments/position_statements/ps34.asp
  • Massachusetts Department of Public Health School
    Health Unit
  • http//www.epipen.com

30
COURSE COMPLETION
  • Please take the Post-Test Post-test requires
    Adobe reader - download it here.
  • Then see a School Nurse to demonstrate proper
    Epipen administration with a training pen

Thank You!
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