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Anaphylaxis

Anaphylaxis. Annual compulsory education. Learning Objectives. Know the definition and the signs & symptoms of anaphylaxis Know the non-pharmacological treatments for anaphylaxis Become familiar with the BSF policy on anaphylaxis. Anaphylaxis. Otherwise known as “Anaphylactic Shock”

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Anaphylaxis

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  1. Anaphylaxis Annual compulsory education

  2. Learning Objectives • Know the definition and the signs & symptoms of anaphylaxis • Know the non-pharmacological treatments for anaphylaxis • Become familiar with the BSF policy on anaphylaxis

  3. Anaphylaxis Otherwise known as “Anaphylactic Shock” A severe generalized hypersensitivity reaction affecting multiple organ systems MAY BE LIFE THREATENING Generally begins within a few minutes or up to 30 minutes, but almost always within 2 hours after antigen exposure

  4. anaphylaxis • Anaphylaxis usually occurs on the 2nd or 3rd exposure to an allergen – however it can occur on a first exposure as well • Changes/reactions develop over several minutes and usually involve at least 2 body systems (affecting the skin, respiration, circulation) • Unconsciousness is rarely the sole manifestation of anaphylaxis – it occurs only as a late event in severe cases

  5. Anaphylaxis – signs & symptoms

  6. Non-pharmacological management • Call a Code Blue • Lay the person down with feet elevated • Establish and oral airway & remove restrictive clothing • Give high flow oxygen using non-rebreather mask • Stay with the person • Offer reassurance until emergency personnel arrive

  7. Pharmacological Management BSF Policy (RC-04-01-49) Epinephrine is ONLY used for anaphylaxis POST influenza vaccination or POST Pneumococcal vaccination • Call Code Blue & request 9-1-1 be called • Administer Epinephrine as prescribed • Stay with the resident until emergency personnel arrive

  8. epinephrine Listed on BSF Standing Order under ”Influenza Management &Pneumococcal Vaccine” Epinephrine 1:1000 given 0.5 ml intramuscular in the opposite limb of reaction to vaccine

  9. Who to report to? • Physician • Resident’s Family • Pharmacy • Unit Clerk • Program Manager • Director of Nursing/Care • Administrator

  10. documentation Total Team Record (TTR) Medication Administration Record (MAR) Red Allergy Card Name Labels Identification Bracelet

  11. Bsf requirements All RNs& LPNs must complete this Compulsory In-Service annually

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