Nov 15, 2020
Script By: Thomsen D'hont
Peer-Review By: Hermeen Dhillon
Hosts: Caleb Dusdal, Thomsen D'hont, AND Christ Cochrane!
Objective One:
In all patients, always inquire about any allergy and clearly
document it in the chart. Re-evaluate this periodically.
Objective Two:
Clarify the manifestations of a reaction in order to try to
diagnose a true allergic reaction
Objective Three:
In a patient reporting allergy, ensure that the patient has the
appropriate medication to control symptoms
Objective Four:
Prescribe an EpiPen to every patient who has a history of, or is at
risk for, anaphylaxis.
Objective Five:
Educate appropriate patients with allergy and their families about
the symptoms of anaphylaxis and the self-administration of the
EpiPen, and advise them to return for immediate reassessment and
treatment if those symptoms develop or if the EpiPen has been
used.
Objective Six:
Advise patients with any known drug allergy or previous major
allergic reaction to get a MedicAlert bracelet.
Objective Seven:
In a patient presenting with an anaphylactic reaction:
a) Recognize the symptoms and signs.
b) treat immediately and aggressively
c) Prevent a delayed hypersensitivity reaction through observation
and adequate treatment
Objective Eight:
In patients with anaphylaxis of unclear etiology refer to an
allergist for clarification of the cause.
Objective Nine:
In the particular case of a child with an anaphylactic reaction to
food a) Prescribe an EpiPen for the house, car, school, and
daycare.
b) Advise the family to educate the child, teachers, and caretakers
about signs and symptoms of anaphylaxis, and about when and how to
use the EpiPen.
Objective Ten:
In a patient with unexplained recurrent respiratory symptoms,
include allergy in the differential diagnosis.