Get the free Epi Pen and Inhaler Form - YMCA Camp Takodah

PERMISSION FOR POSSESSION AND USE OF EPINEPHRINE AUTOINJECTORS AND ASTHMA INHALERS In order to comply with NH RSA 485, your physician must complete/sign this form, which allows your child to possess

How to fill out epi pen and inhaler

How to fill out an epi pen and inhaler:

Epi Pen:

1. Begin by removing the safety cap from the auto-injector.
2. Hold the Epi Pen firmly with the orange tip facing downwards.
3. Form a fist around the Epi Pen and remove the gray safety cap.
4. Carefully place the orange tip against the outer thigh, holding it firmly in place.
5. Push down firmly until you hear a click or until the injector is emptied.
6. Hold the Epi Pen in place for a few seconds before removing it.
7. Seek immediate medical attention after using the Epi Pen.

Inhaler:

1. Shake the inhaler well before using to ensure proper medication distribution.
2. Remove the cap from the inhaler mouthpiece.
3. Exhale completely to empty your lungs.
4. Place the mouthpiece in your mouth, sealing your lips around it.
5. As you start to inhale slowly, press down on the inhaler to release the medication.
6. Continue to inhale deeply to ensure the medication reaches your lungs.
7. Hold your breath for a few seconds to allow the medication to be absorbed.
8. Exhale slowly and then wait a few minutes before taking another dose, if necessary.

Who needs an epi pen and inhaler:

1. Individuals diagnosed with severe allergies or anaphylaxis may need an epi pen.
2. People with respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD) often require an inhaler.
3. Those who experience severe allergic reactions or have a history of asthma attacks may also benefit from having an epi pen or inhaler on hand.

For pdfFiller’s FAQs

What is epi pen and inhaler?

Both an EpiPen and an inhaler are medical devices used to treat allergic reactions and asthma, respectively.

Who is required to file epi pen and inhaler?

Individuals who require an EpiPen for severe allergies or an inhaler for asthma are required to have these devices on hand at all times.

How to fill out epi pen and inhaler?

EpiPens and inhalers come with instructions on how to properly administer the medication in case of an emergency. It is important to follow these instructions carefully.

What is the purpose of epi pen and inhaler?

The purpose of an EpiPen is to quickly deliver a dose of epinephrine to counteract severe allergic reactions, while an inhaler is used to deliver medication to help open the airways in individuals with asthma.

What information must be reported on epi pen and inhaler?

The expiration date, dosage instructions, and any allergies or medical conditions that may affect the use of the EpiPen or inhaler should be reported.

How can I send epi pen and inhaler for eSignature?

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