Fillable Swollen lips, face or eyes Abdominal pain or (London Institute of Management and Technology)

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Swollen lips, face or eyes Abdominal pain or (London Institute of Management and Technology)

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Name:
DOB:
Emergency contact details:
1)
!
2)
!
THIS CHILD HAS THE FOLLOWING ALLERGIES:
Photo
Keep your EpiPen device(s) at room temperature,
do not refrigerate.
For more information and to register for a free
reminder alert service, go to www.epipen.co.uk
Produced in conjunction with:
!The British Society for Allergy & Clinical Immunology
www.bsaci.org Approved Oct 2013
Watch for signs of ANAPHYLAXIS
(life-threatening allergic reaction):
Mild-moderate allergic reaction:
• Swollen lips, face or eyes
• Itchy / tingling mouth
• Hives or itchy skin rash
ACTION:
• Stay with the child, call for help if necessary
• Give antihistamine:
• Contact parent/carer
• Abdominal pain or vomiting
• Sudden change in behaviour
(if vomited, can repeat dose)
Child’s
A
IRWAY: Persistent cough, hoarse voice,
difficulty swallowing, swollen tongue
BREATHING: Difficult or noisy breathing,
wheeze or persistent cough
CONSCIOUSNESS: Persistent dizziness / pale or floppy
suddenly sleepy, collapse, unconscious
If ANY ONE of these signs are present:
1. Lie child flat. If breathing is difficult, allow to sit
2. Give EpiPen
®
or EpiPen
®
Junior
3. Dial 999 for an ambulance* and say
ANAPHYLAXIS (“ANA-FIL-AX-IS”)
If in doubt, give EpiPen
®
After giving Epipen:
1. Stay with child, contact parent/carer
2. Commence CPR if there are no signs of life
3. If no improvement after 5 minutes, give a further EpiPen
®
or alternative adrenaline autoinjector device, if available
*You can dial 999 from any phone, even if there is no credit left on a mobile.
Medical observation in hospital is recommended after anaphylaxis.
This is a medical document that can only be completed by the patient's treating health professional and cannot be
altered without their permission.
This plan has been prepared by:
Hospital/Clinic:
! Date:
Additional instructions:
Allergy Action Plan
If wheezy, give 10 puffs salbutamol (blue inhaler) via spacer and dial 999
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Completed 18 May 2021

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