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ALLERGY AND ANAPHYLAXIS ACTION PLANStudents Name: ___
DOB: ___Grade: ___Place children
Photo parallelly to: ___
Brief History: ___Asthma:___ YES (higher risk for severe reaction)___ NOS TEP 1 TREATMENTDOSAGE:
Epinephrine:
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How to fill out non-food allergy and anaphylaxis

How to fill out non-food allergy and anaphylaxis
01
Identify the specific non-food allergen causing the allergic reaction.
02
Observe symptoms of an allergic reaction such as hives, itching, swelling, or difficulty breathing.
03
Administer epinephrine if anaphylaxis is suspected.
04
Seek immediate medical attention or call emergency services.
05
Inform healthcare professionals of any known allergies or previous anaphylactic reactions.
Who needs non-food allergy and anaphylaxis?
01
Individuals who have known non-food allergies to substances such as pollen, pet dander, medications, or latex.
02
Individuals who have experienced anaphylaxis in the past and require an epinephrine auto-injector for emergency treatment.
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What is non-food allergy and anaphylaxis?
Non-food allergy is an allergic reaction to something other than food, while anaphylaxis is a severe, potentially life-threatening allergic reaction.
Who is required to file non-food allergy and anaphylaxis?
Individuals who have been diagnosed with non-food allergies or are at risk for anaphylaxis are required to file this information.
How to fill out non-food allergy and anaphylaxis?
To fill out non-food allergy and anaphylaxis, individuals must provide detailed information about their allergies and any history of anaphylaxis.
What is the purpose of non-food allergy and anaphylaxis?
The purpose of filing non-food allergy and anaphylaxis is to inform healthcare providers and emergency responders about an individual's allergies and risk for anaphylaxis.
What information must be reported on non-food allergy and anaphylaxis?
Information such as the specific allergies, triggers, symptoms, and emergency action plan must be reported on non-food allergy and anaphylaxis.
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