Save a Life with Epinephrine

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Save a Life with Epinephrine

• Rachel Gallagher, R.N., A.P.N.P.
• School Nurse Consultant
• Wisconsin Department of Public Instruction
• 125 South Webster St.
• Madison, WI 53707
• rachel.gallagher_at_dpi.wi.gov

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Audio Difficulties?

• Make sure the volume is turned up (volume button
  beneath the speakers picture)
• Make sure the volume on the computer is turned up
  (volume icon located on the right hand side of
  your computer taskbar)
• Contact your IT department
• If audio and visual is lost during the program,
  go back to http//media2.wi.gov/dpi/catalog/,
  and click on the Student Services Prevention and
  Wellness Team link on the left, then when the
  SSPW Team page of archived programs appears,
  select the program link desired.
• If problem persists contact Rachel Gallagher
  [phone].

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When you print you get this screen. Make certain
you choose Notes Pages as the print option,
here!
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Overview

• What is anaphylaxis?
• What is the prevalence?
• What are the symptoms?
• What are some common allergens?
• What are the treatments?
• What are the delivery devices?
• Demonstration

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What is Anaphylaxis?

• Is a sudden and severe immune system reaction
  that affects the whole body
• Can be life-threatening
• History of asthma and eczema increases prevalence
  of anaphylactic reactions

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What is the prevalence of anaphylaxis?

• 30,000 emergency room visits
• 2,000 hospitalizations
• 150 deaths
• Food and Drug Administration, 2007

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What are some of the signs of anaphylaxis?

• Skin - hives, swelling, tingling and flushing of
  skin, sweaty skin
• Respiratory - respiratory distress, wheezing,
  coughing
• Cardiovascular - increased pulse, decreased blood
  pressure

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Signs continued

• Gastrointestinal nausea, vomiting and
  diarrhea, drooling
• Genitourinary incontinency, cramping
• Central Nervous System confusion, loss of
  consciousness
• Feeling of impending doom

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Pictures

• Hives
• Swelling

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What are some of the common allergens that cause
anaphylaxis?

• Food
• Insects
• Drugs
• Exercise-induced anaphylaxis

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Management of Anaphylaxis?

• Identify students with life-threatening food
  allergies
• Secure medical provider orders, parent
  permission and medication for school
• Develop school protocol for management of
  anaphylaxis
• School nurse developed emergency health
• care plan (ECP)

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Treatment of Students with Anaphylaxis?

• Administration of Benadryl and/or Epinephrine
• Call 911 and start CPR as needed
• Check for relapse and administer second dose of
  epinephrine as needed
• Monitor side effects
• Monitor status of anaphylaxis
• Notify parents/physician

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Epinephrine dosages

• .15 mg for students less than 66 pounds or 30
  kilograms
• .30 mg for students greater than 66 pounds or 30
  kilograms
• Epi-pen - .3 mg
• Epi-pen Jr. - .15 mg

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Delivery Devices

• Epi-pen
• Twinject

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Demonstrations-Epi-Pen
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Demonstration of Twinject
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Questions?

• School Nurse
• School Nurse Consultant

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This PowerPoint Presentation and Competency Test
are available at

• http//dpi.wi.gov/sspw/schlnurse.html

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• Any comments regarding this webcast?
• Any suggestions on future school nursing topics?
• Contact
• Rachel Gallagher
• [phone]
• E-mail rachel.gallagher_at_dpi.wi.gov

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