Food Allergy & Anaphylaxis Emergency Care Plan Page 2
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HOW TO USE AUVI-Q
(EPINEPHRINE INJECTION, USP), KALEO
®
1. Remove Auvi-Q from the outer case.
2. Pull off red safety guard.
3. Place black end of Auvi-Q against the middle of the outer thigh.
4. Press firmly, and hold in place for 5 seconds.
5. Call 911 and get emergency medical help right away.
HOW TO USE EPIPEN
AND EPIPEN JR
(EPINEPHRINE) AUTO-INJECTOR, MYLAN
®
®
1. Remove the EpiPen
or EpiPen Jr
Auto-Injector from the clear carrier tube.
®
®
3
2. Grasp the auto-injector in your fist with the orange tip (needle end) pointing downward.
3. With your other hand, remove the blue safety release by pulling straight up.
4
4. Swing and push the auto-injector firmly into the middle of the outer thigh until it ‘clicks’.
5. Hold firmly in place for 3 seconds (count slowly 1, 2, 3).
6. Remove and massage the injection area for 10 seconds.
7. Call 911 and get emergency medical help right away.
HOW TO USE EPINEPHRINE INJECTION (AUTHORIZED GENERIC OF EPIPEN
), USP AUTO-INJECTOR, MYLAN
®
1. Remove the epinephrine auto-injector from the clear carrier tube.
3
2. Grasp the auto-injector in your fist with the orange tip (needle end) pointing downward.
3. With your other hand, remove the blue safety release by pulling straight up.
4
4. Swing and push the auto-injector firmly into the middle of the outer thigh until it ‘clicks’.
5. Hold firmly in place for 3 seconds (count slowly 1, 2, 3).
6. Remove and massage the injection area for 10 seconds.
7. Call 911 and get emergency medical help right away.
HOW TO USE IMPAX EPINEPHRINE INJECTION (AUTHORIZED GENERIC OF ADRENACLICK
),
®
5
USP AUTO-INJECTOR, IMPAX LABORATORIES
1. Remove epinephrine auto-injector from its protective carrying case.
2. Pull off both blue end caps: you will now see a red tip.
3. Grasp the auto-injector in your fist with the red tip pointing downward.
4. Put the red tip against the middle of the outer thigh at a 90-degree angle, perpendicular to the thigh.
5. Press down hard and hold firmly against the thigh for approximately 10 seconds.
6. Remove and massage the area for 10 seconds.
7. Call 911 and get emergency medical help right away.
ADMINISTRATION AND SAFETY INFORMATION FOR ALL AUTO-INJECTORS:
1. Do not put your thumb, fingers or hand over the tip of the auto-injector or inject into any body part other than mid-outer
thigh. In case of accidental injection, go immediately to the nearest emergency room.
2. If administering to a young child, hold their leg firmly in place before and during injection to prevent injuries.
3. Epinephrine can be injected through clothing if needed.
4. Call 911 immediately after injection.
OTHER DIRECTIONS/INFORMATION (may self-carry epinephrine, may self-administer epinephrine, etc.):
Treat the person before calling emergency contacts. The first signs of a reaction can be mild, but symptoms can worsen quickly.
EMERGENCY CONTACTS — CALL 911
OTHER EMERGENCY CONTACTS
NAME/RELATIONSHIP: __________________________________________________________________
RESCUE SQUAD: ______________________________________________________________________
PHONE: _______________________________________________________________________________
DOCTOR: _________________________________________________ PHONE: ____________________
NAME/RELATIONSHIP: __________________________________________________________________
PARENT/GUARDIAN: ______________________________________ PHONE: ____________________
PHONE: _______________________________________________________________________________
FORM PROVIDED COURTESY OF FOOD ALLERGY RESEARCH & EDUCATION (FARE) () 4/2017
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