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Epi pen training[1]
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Epi pen training[1]

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  • Anaphylaxis is a severe, potentially life-threatening allergic reaction caused by contact with certain triggers such as: foods, medications, insect venom or latex. Anaphylaxis can also be caused by physical exercise, as well, if you have history of asthma.
  • Examples of triggers: Foods (especially peanuts or seafood), medications, insect venom or latex
  • While a normal response to an insect sting may consist of reddening and some pain , an anaphylactic response is much more serious and can involve changes in breathing and loss of consciousness.
  • It is found in a wide range of manufactured goods, including an estimated 40,000 common household items. Latex allergies now affect an estimated 1% to 6% of the U.S. population and the reasons for the increase in incidence can be attributed to biohazard precautions and manufacturing changes.
  • Although the exact incidence of medication allergies is unknown, serious allergic reactions to medications cause the most allergy-associated deaths in the United States every year. Common medications that induce allergic reactions include antibiotics and some heart medications, though there are many other drugs that can cause an allergic response.
  • Idiopathic anaphylaxis is a potentially life-threatening allergic reaction that occurs in the absence of any known allergen. In simpler terms, nobody really knows what causes idiopathic anaphylaxis.

Transcript

  • 1. EPI PEN TRAINING KAREN, RN, BSN FARGO SOUTH SCHOOL NURSE
  • 2.
    • Anaphylaxis
    • Anaphylaxis is a severe, potentially life-threatening allergic reaction caused by contact with certain triggers
    Why use an Epipen?
  • 3. CAUSES OF ALLERGIC REACTIONS
  • 4. Symptoms of Severe Allergic Reaction
    • Dizziness/headache
    • Irritability
    • Flushing of face/chest
    • Tightness of throat/chest
    • Weak pulse
    • Breathing difficulty/wheezing/shortness of breath
    • Swelling of the face/tongue/lips
    • Itchy skin, hives
    • Nausea/vomiting/abdominal cramps
    • Seizures
    • Loss of consciousness
  • 5. Food allergies
    • There are eight types of foods that are accountable for 90% of all food-allergic reactions. The foods that most commonly cause anaphylaxis (called allergenic foods ) are:
    • Peanuts
    • Tree nuts (walnuts, pecans, etc.)
    • Shellfish
    • Fish
    • Milk
    • Soy
    • Wheat
    • Eggs
    • Sulfites added to foods
  • 6. Insect Bites
    • normal response to an insect sting may consist of reddening and some pain
    • an anaphylactic response is much more serious and can involve changes in breathing and loss of consciousness.
    • Usually once you have experienced an allergic response you are likely to experience a subsequent response when exposed to the insect culprit, but the severity of the response can vary.
  • 7. LATEX
    • Natural rubber latex (NRL) has emerged over the last decade as an increasingly common trigger for anaphylaxis-producing allergies:
      • Found in 40,000 household items
      • gloves
  • 8. MEDICATIONS
    • exact incidence of medication allergies is unknown
    • Common medications that induce allergic reactions include:
      • antibiotics and some heart medications,
      • though there are many other drugs that can cause an allergic response.
  • 9. EXERCISE INDUCED ASTHMA
    • The initial symptoms of exercise-induced anaphylaxis include:
    • Fatigue
    • Diffuse warmth
    • Skin itching
    • Skin redness
    • Hives
    • Later symptoms may progress to:
    • Gastrointestinal symptoms (nausea, vomiting)
    • Swelling of the throat
    • Loss of consciousness
  • 10. IDIOPATHIC ANAPHYLAXIS
    • The symptoms of idiopathic anaphylaxis are the same as for other forms of anaphylaxis, with the main symptoms being:
    • Itching
    • Hives
    • Swelling of the throat
    • A drop in blood pressure
    • Irregular heart rhythm
    • Nausea
    • Vomiting
    • Abdominal cramping
    • Loss of consciousness
  • 11. THE EPI PEN
    • The epi pen contains epinephrine in a premixed one time dosage. (0.3 mg for adults/0.15 mg for Jr.)
    • Epi pens are prescription and need to be obtained thru a physician.
    • Epinephrine is the medication treatment of choice for severe allergic reactions/emergencies.
    • The epi pen is light and temperature sensitive and should be stored at room temperature in a dark place.
    • Epi pens have expiration dates.
  • 12. Epinephrine
    • Constricts blood vessels
    • Relaxes smooth muscles in the lungs improving breathing
    • Stimulates the heartbeat
    • Reverses hives and swelling around face/lips
  • 13. EPI-PEN PROCEDURE
    • HAVE SOMEONE ELSE CALL 911
    • CHECK THE EPI PEN SOLUTION COLOR (CLEAR)
    • REMOVE GRAY SAFETY CAP
    • HOLD EPIPEN WITH BLACK TIP AGAINST FRONT SIDE OF MIDDLE THIGH MUSCLE (CAN BE GIVEN THRU CLOTHING)
    • APPLY MODERATE PRESSURE TO HEAR “CLICK” AND HOLD IN PLACE FOR 10 SECONDS (AUTO INJECTION)
    • REMOVE EPIPEN AND MASSAGE AREA FOR 10 SECONDS
    • BE PREPARED TO BEGIN CPR (KEEP PERSON WARM)
    • STAY WITH PERSON UNTIL HELP ARRIVES
    • SEND EPIPEN WITH EMT TO HOSPITAL
    • EFFECT OF THE INJECTION WEAR OFF AFTER 10-20 MINUTES
  • 14. WHAT HAPPENS IF IT WASN’T NEEDED????
    • Epinephrine constricts blood flow to skin and mucous membranes resulting in a blanching of the skin at the injection site. It will also increase cardiac rate.
    • Transient effects of epinephrine can also include restlessness, apprehension, headache or tremors.
    • No prolonged effects or significant ill effects have been reported. It’s better to give epinephrine if in doubt, then to not give it.
  • 15. QUESTIONS???