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CONFIDENTIAL EMERGENCY ACTION PLAN LIFE THREATENING ALLERGY (ANAPHYLAXIS) Student Name: Attach photo of studentDate: Please be advised of these students' health condition. Please keep this information
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How to fill out life threatening allergy anaphylaxis

01
Recognize the symptoms of anaphylaxis, which may include difficulty breathing, hives, swelling of the face or throat, rapid pulse, dizziness, and confusion.
02
If you or someone you know is experiencing anaphylaxis, immediately call for emergency medical help.
03
While waiting for assistance, help the person into a comfortable position and keep them calm.
04
If the person has an epinephrine auto-injector, assist them in using it according to their prescribed instructions.
05
If the person is unconscious or having trouble breathing, perform CPR if you are trained to do so.
06
Stay with the person until medical help arrives and provide any necessary information about their allergies and medical history.

Who needs life threatening allergy anaphylaxis?

01
Anyone who has a life-threatening allergy, such as to food, insect stings, medications, or latex, needs to be aware of anaphylaxis and how to respond.
02
Individuals who have previously experienced an anaphylactic reaction are at higher risk and should have an emergency action plan in place.
03
People with known allergies should always carry an epinephrine auto-injector and know how to use it.

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