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SCHOOL HEALTH SERVICESMEDICATION SELF AND STAFF* ADMINISTRATION CONSENT FORM (PHYSICIAN SIGNATURE REQUIRED) (ASTHMA & ANAPHYLAXISEpiPens and Inhalers)Requires renewal at the beginning of each school
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How to fill out asthma and anaphylaxis med
01
Check the medication label to ensure that it is the correct medication for asthma or anaphylaxis.
02
Shake the medication well before use.
03
Remove the cap from the medication device.
04
If using a puffer, hold the device upright and away from the face.
05
Breathe out fully to empty the lungs.
06
Place the device in your mouth, ensuring a tight seal.
07
Start breathing in slowly and deeply through the mouth while simultaneously pressing the medication canister.
08
Continue inhaling until your lungs are full.
09
Hold your breath for 10 seconds to allow the medication to reach deep into the airways.
10
Breathe out slowly.
11
If using a spacer or aerochamber, attach it to the medication device and follow the manufacturer's instructions for use.
12
After use, replace the cap and store the medication in a cool, dry place.
13
Clean the medication device regularly as per the manufacturer's instructions.
Who needs asthma and anaphylaxis med?
01
Asthma and anaphylaxis medication is needed by individuals who have been diagnosed with asthma or anaphylaxis.
02
Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, leading to symptoms such as wheezing, coughing, chest tightness, and shortness of breath. Medication is necessary to manage and control these symptoms.
03
Anaphylaxis is a severe allergic reaction that can be life-threatening. It can occur in response to certain allergens, medications, or insect bites/stings. Anaphylaxis medication, such as epinephrine autoinjectors, are crucial in treating and preventing the progression of anaphylactic reactions.
04
Individuals who have a history of asthma or anaphylaxis, or those who have been prescribed these medications by a healthcare professional, need to have asthma and anaphylaxis medication available at all times in case of an emergency.
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