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Anaphylaxis (Severe Allergy) Individualized Healthcare Plan SECTION I Student:WT:HT:Grade:D.O. Any Known AllergiesSchool:District:Bus (check one) ?YES ? Nous #Ambush #School Nurse:Phone #Cell #Medication
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How to fill out food allergy and anaphylaxis

01
Read food labels carefully: Look for any mention of common allergens such as nuts, dairy, eggs, soy, wheat, fish, or shellfish. If any of these allergens are present, avoid consuming the product.
02
Carry an emergency epinephrine auto-injector: This device can be a lifesaver in case of a severe allergic reaction. Make sure you know how to use it and keep it within reach at all times.
03
Communicate your allergies: Inform your family, friends, and coworkers about your food allergies so that they can help you avoid any potential triggers. Additionally, when dining out, notify the staff about your allergies to ensure proper food preparation.
04
Be cautious with cross-contamination: Avoid sharing utensils, plates, or food with others, as it may lead to cross-contamination. Be aware of the surfaces you eat on and the cooking equipment used.
05
Educate yourself on hidden allergens: Some foods may contain hidden allergens, such as sauces, dressings, or seasonings. Learn to identify potential sources of allergens and ask for ingredient lists whenever necessary.

Who needs food allergy and anaphylaxis?

01
People who have been diagnosed with food allergies and anaphylaxis need to be cautious and take necessary precautions. This includes individuals who have experienced allergic reactions after consuming certain foods in the past. It is crucial for them to avoid allergens that trigger their allergic reactions to prevent potentially life-threatening situations.

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Food allergy is an immune system reaction that occurs soon after eating a certain food, which can trigger symptoms ranging from mild hives to life-threatening anaphylaxis. Anaphylaxis is a severe allergic reaction that requires immediate medical attention.
Individuals who have been diagnosed with a food allergy that has the potential to cause anaphylaxis, as well as parents or guardians of affected children, are required to file food allergy and anaphylaxis documentation.
To fill out food allergy and anaphylaxis documentation, individuals need to provide personal information, details of the allergic reaction, specific allergens, and emergency response actions including medication instructions.
The purpose of filing food allergy and anaphylaxis documentation is to ensure proper identification and management of individuals with food allergies, promote awareness, and create a safety plan in case of an allergic reaction.
Reported information must include the individual's name, type of food allergy, history of reactions, prescribed medications, and emergency contact information.
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