Anaphylaxis follow-up

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EpinephrineChoose one

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Anaphylaxis follow-up
• Prior reaction reviewed, including the trigger, timing, symptoms, treatment, and cofactors such as exercise, illness, or motrin
• History consistent with anaphylaxis
• No reactions since the last visit
• Epinephrine autoinjector 2-pack renewed, with the dose checked against current weight and expiration dates and storage reviewed
• Patient and caregivers demonstrated when and how to use epinephrine with a trainer
• Allergy and anaphylaxis emergency plan updated
• Trigger avoidance and label reading reviewed
• Continue care with allergy
• Follow up in 1 year to renew the emergency plan and epinephrine

Anaphylaxis can happen again with the same trigger, and the next reaction can be milder or more severe. Epinephrine is the first treatment for any serious symptom, and antihistamines and inhalers do not replace it. Recommended supportive care with an emphasis on keeping 2 epinephrine devices with the child at all times, checking expiration dates, and storing them away from heat and cold. Lay the child flat, or on the side if vomiting or short of breath, and give a second dose if symptoms continue after 5 to 15 minutes. Call 911 after any use of epinephrine; the child needs an emergency evaluation even when symptoms improve. Return precautions given including any allergic reaction, any use of epinephrine, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Trigger (food, sting, medication, exercise, unknown)
Prior reaction reviewed with cofactors
Interval reactions and epinephrine use; first visit after ED
Asthma noted; asthma control
Autoinjector renewed with expiration and storage
Higher-dose device by weight; nasal spray
Trainer demonstration
Emergency plan updated; avoidance and labels
Forms; self-carry; medical ID; sting avoidance
Allergy referral; venom immunotherapy; established

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Follow-up yearly to renew
Emergency response counseling (epinephrine first, 911, ED after use)

Return precautions in the template

any allergic reactionany use of epinephrine

Anaphylaxis follow-up

What the sources cover

Return precautions in the template

Sources