anaphylaxis emergency action plan 2016 …（速发型过敏反应的紧急行动计划2016年u2026）.pdf

Anaphylaxis Emergency Action Plan Patient Name: ____________________________________________________________ Age: _______________ Allergies: ____________________________________________________________________________________ Asthma Yes (high risk for severe reaction) No Additional health problems besides anaphylaxis: ___________________________________________________ _____________________________________________________________________________________________ Concurrent medications: _______________________________________________________________________ _____________________________________________________________________________________________ Symptoms of Anaphylaxis MOUTH itching, swelling of lips and/or tongue THROAT* itching, tightness/closure, hoarseness SKIN itching, hives, redness, swelling GUT vomiting, diarrhea, cramps LUNG* shortness of breath, cough, wheeze HEART* weak pulse, dizziness, passing out Only a few symptoms may be present. Severity of symptoms can change quickly. *Some symptoms can be life-threatening. ACT FAST! Emergency Action Steps - DO NOT HESITATE TO GIVE EPINEPHRINE! 1. Inject epinephrine in thigh using (check one): Adrenaclick (0.15 mg) Adrenaclick (0.3 mg) Auvi-Q (0.15 mg) Auvi-Q (0.3 mg) EpiPen Jr (0.15 mg) EpiPen (0.3 mg) Epinephrine Injection, USP Auto-injector- authorized generic