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SEVERE ALLERGIC REACTION MANAGEMENT PROCEDURE QUESTIONNAIRE Student Name: ___ Current Date: ___ Date of Birth: ___ Grade: ___ 1. Describe in detail what your child is allergic to:2. How often does
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How to fill out severe allergic reaction management

01
Recognize the signs and symptoms of severe allergic reactions such as difficulty breathing, swelling of the face or throat, and rapid heartbeat.
02
Administer epinephrine using an auto-injector if available and prescribed by a healthcare provider.
03
Call 911 or seek emergency medical attention immediately after administering the epinephrine.
04
Monitor the individual for any changes in condition and continue to provide assistance until medical help arrives.

Who needs severe allergic reaction management?

01
Individuals with a history of severe allergic reactions or anaphylaxis.
02
People with known allergies to certain foods, insect stings, medications, or other allergens.
03
Those with a prescribed epinephrine auto-injector for emergency use.
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Severe allergic reaction management involves identifying and treating symptoms of a severe allergic reaction, typically with the use of epinephrine and seeking medical attention.
Healthcare facilities and schools are typically required to have protocols in place for managing severe allergic reactions.
Severe allergic reaction management forms usually require information on the individual experiencing the reaction, the symptoms observed, treatment administered, and follow-up care.
The purpose of severe allergic reaction management is to ensure prompt and appropriate treatment for individuals experiencing severe allergic reactions to prevent serious complications.
Information typically reported on severe allergic reaction management forms includes the individual's name, date of birth, known allergies, symptoms experienced, treatment administered, and follow-up care instructions.
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