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Anaphylaxis Action Plan Name: ___ DOB: ___ Allergy To: ___ / Unknown Epinephrine autoinjector must always be available to the child. Child should carry their own epinephrine autoinjector: Yes / No

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How to fill out epinephrine auto-injector and anaphylaxis

01

Remove the auto-injector from its case.

02

Hold the auto-injector in your hand with the orange tip pointing downward.

03

Remove the blue safety cap by pulling it straight up.

04

Firmly press the orange tip against the middle of the outer thigh.

05

Hold the auto-injector in place for 10 seconds to allow the medication to be delivered.

06

Remove the auto-injector and massage the injection site for a few seconds.

Who needs epinephrine auto-injector and anaphylaxis?

01

People with severe allergies, especially those at risk for anaphylaxis, need an epinephrine auto-injector and must know how to use it in case of an emergency.

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What is epinephrine auto-injector and anaphylaxis?

Epinephrine auto-injector is a device used to administer a dose of epinephrine in cases of severe allergic reactions, known as anaphylaxis.

Who is required to file epinephrine auto-injector and anaphylaxis?

Healthcare providers, individuals with severe allergies, and caregivers of individuals with severe allergies are required to have and use epinephrine auto-injectors in cases of anaphylaxis.

How to fill out epinephrine auto-injector and anaphylaxis?

Epinephrine auto-injectors come with instructions on how to properly administer the medication in case of anaphylaxis. It is important to follow these instructions carefully.

What is the purpose of epinephrine auto-injector and anaphylaxis?

The purpose of an epinephrine auto-injector is to quickly deliver a dose of epinephrine to counteract the severe allergic reaction of anaphylaxis and prevent potentially life-threatening complications.

What information must be reported on epinephrine auto-injector and anaphylaxis?

Information such as the date and time of administration, the individual receiving the medication, the person administering the medication, and any observed symptoms before and after administration should be documented.

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