b"ChapterA C T I O NP L A NF O Rwww.allergy.org.au Anaphy laxisName: For use with EpiPen adrenaline (epinephrine) autoinjectorsDate of birth: SIGNS OF MILD TO MODERATE ALLERGIC REACTIONSwelling of lips, face, eyes Tingling mouth Hives or weltsAbdominal pain, vomiting- these are signs of anaphylaxis for insect allergyPhoto ACTION FOR MILD TO MODERATE ALLERGIC REACTION For insect allergy - flick out sting if visibleFor tick allergyseek medical help orfreeze tick and let it drop off Stay with person, call for help and locate adrenaline autoinjectorGive antihistamine (if prescribed)Confirmed allergens:Phone family/emergency contactMild to moderate allergic reactions (such as hivesFamily/emergency contact name(s):or swelling) may not always occur before anaphylaxis1.Mobile Ph: WATCH FOR ANY ONE OF THE FOLLOWING SIGNS OF2.ANAPHYLAXIS (SEVERE ALLERGIC REACTION) Mobile Ph:Plan prepared by doctor or nurse practitioner (np):Difficult or noisy breathingDifficulty talking or hoarse voice Swelling of tonguePersistent dizziness or collapseThe treating doctor or np hereby authorises Swelling or tightness in throatPale and floppy (young children)medications specified on this plan to be Wheeze or persistent coughgiven according to the plan, as consented by the patient or parent/guardian.ACTION FOR ANAPHYLAXIS Whilst this plan does not expire, review is recommended by DD/MM/YY 1 LAY PERSON FLAT - do NOT allow them to stand or walk Signed:If unconscious or pregnant, place in recovery positionDate:- on left side if pregnant, as shown below If breathing is difficult allow them to sit with legs outstretchedHold young children flat, not uprightHow to give EpiPen Form fist around EpiPen1 and PULL OFF BLUESAFETY RELEASE 2 GIVE ADRENALINE AUTOINJECTOR3 Phone ambulance - 000 (AU) or 111 (NZ)2 Hold leg still and PLACE4 Phone family/emergency contactORANGE END against 5 Further adrenaline may be given if no response after 5 minutesouter mid-thigh (with or without clothing) 6 Transfer person to hospital for at least 4 hours of observationIF IN DOUBT GIVE ADRENALINE AUTOINJECTOR3 PUSH DOWN HARD untilCommence CPR at any time if person is unresponsive and not breathing normallya click is heard or felt and hold in place for 3 secondsREMOVE EpiPenALWAYS GIVE ADRENALINE AUTOINJECTOR FIRST, and then asthma reliever puffer if someone with known asthma and allergy to food, insects or medication has SUDDEN BREATHING DIFFICULTY (including wheeze, EpiPen is prescribed as follows: persistent cough or hoarse voice) even if there are no skin symptoms EpiPen Jr (150 mcg) for children 7.5-20kg Asthma reliever medication prescribed:YNEpiPen (300 mcg) for children over 20kg Note: If adrenaline is accidentally injected (e.g. into a thumb) phone your local poisons information and adults centre. Continue to follow this action plan for the person with the allergic reaction. ASCIA 2021 This plan was developed as a medical document that can only be completed and signed by the patient's doctor or nurse practitioner and cannot be altered without their permission.190 Medical Emergencies"