Food Allergy Action Plan Template

Personal plan for individuals prescribed emerade.

Food allergy action plan template. A food allergy response kit should contain at least two doses of epinephrine other medications as noted by the students physician and a copy of this food allergy action plan. The template is used by parents to provide a plan of action and authorize others to administer medications should their child suffer an allergic reaction. Take the used unit with you to the emergency room. Fares food allergy anaphylaxis emergency care plan formerly the food allergy action plan outlines recommended treatment in case of an allergic reaction is signed by a physician and includes emergency contact information.

There are 4 plans available click on the link to download the relevant plan. Food allergy action plan its no secret that food allergies are alarmingly common these days they affect 1 in 13 children to be exact. Plans can be completed electronically and then printed and saved or filled in by hand. Adrenaclick 015 mg adrenaclick 03 mg auvi q 015 mg auvi q 03 mg epipen jr 015 mg epipen 03 mg epinephrine injection usp auto injector authorized generic.

Food allergy research and education fare has published an update to their emergency action plan template entitled. Plan to stay for observation at the emergency room for at least 4 hours. Keep your plan in a place where others can find it. Emergency action steps do not hesitate to give epinephrine.

For severe allergy and anaphylaxis what to look for if child has any of these severe symptoms after eating the food or having a sting give epinephrine. This allergy action plan template is useful in emergency situations. A clear allergy action plan will help prevent a lack of dosage and overdosage and in addition will be an efficient use of the patients medication. Shortness of breath wheezing or coughing skin color is pale or has a bluish color weak pulse fainting or dizziness tight or hoarse throat.

Food allergy anaphylaxis emergency care plan. Food allergy action plan pdf free download. Inject epinephrine in thigh using check one. The allergy action plan is not only a tool for the patient.

You may also see project action plans. Allergy action plans for children. Personal plan for individuals prescribed epipen. The allergy action plan can help the healthcare providers refine the patients treatment.

This is a pdf format sample wherein a user can make note of all details regarding the patients allergy which also includes emergency contact numbers and symptoms of the allergy. Once epipen or twinject is used call the rescue squad. This is a free downloadable sample. For children with multiple food allergies consider providing separate action plans for different foods.