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The plan defines anaphylaxis as a life-threatening emergency and instructs staff to give epinephrine via Epi auto-injector, repeat dosing if needed, and call 911 while documenting medication times. It lists usual symptoms by body system, usual emergency steps, side effects, storage and self-carry rules for epinephrine and inhalers, and procedures for meals, bus transportation, and field trips.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/severe-allergic-reaction-plan-504-plan-medication-orders-medication-orders-for-students-with-severe-allergies/404071/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/severe-allergic-reaction-plan-504-plan-medication-orders-medication-orders-for-students-with-severe-allergies/404071.png","ImageObject",300,407,{"name":92,"@type":93},"Ivy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What should staff do if the student shows signs of anaphylaxis or possible exposure?","Question",{"text":112,"@type":113},"Give the Epi auto-injector and call 911, documenting the time medications are given. Stay with the student, notify parents and the school nurse, and follow the listed after-epinephrine steps.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When can Epi auto-injector dosing be repeated?",{"text":117,"@type":113},"The plan states to repeat the epinephrine auto-injector in 10–15 minutes if symptoms are not relieved or return and EMS has not arrived.",{"name":119,"@type":110,"acceptedAnswer":120},"What happens after epinephrine is administered?",{"text":121,"@type":113},"After Epi auto-injection, give Benadryl or an antihistamine, and if the student has asthma and is wheezing or has shortness of breath or chest tightness, give specified bronchodilator options after epinephrine and antihistamine.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},404071,1790982382,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","SEVERE ALLERGIC REACTION/504 PLAN & MEDICATION ORDERS  \nStudent has severe allergy to:   \nNurse phone:   \nDate Plan Developed/Revised/Reviewed:   \nPlace student picture here  \n\n| NAME:  |  |  |  | Birthdate:  |\n| --- | --- | --- | --- | --- |\n| Grade:  | School:  |  Bus  Walk  Drive |  |  |\n| Allergy History:  History of anaphylaxis/severe reaction  Skin testing indicates allergy Date of Last Reaction:  |  |  |  |  |\n| Other Allergies:  |  |  |  Student has Asthma (increased risk factor for severe reaction) |  |\n| Epi auto-injector(s) location:  OFFICE  BACKPACK  ON PERSON  OTHER:   \u003Cbr>Inhaler(s) location:  OFFICE  BACKPACK  ON PERSON  OTHER:  |  |  |  |  |\n| Anaphylaxis (Severe allergic reaction) is an excessive reaction by the body to combat a foreign substance that has been eaten, injected, inhaled or absorbed through the skin. It is an intense and life-threatening medical emergency. Do not hesitate to give Epi auto-injector and call 911. |  |  |  |  |\n| USUAL SYMPTOMS of an allergic reaction:\u003Cbr>MOUTH--Itching, tingling, or swelling of the lips, tongue, or mouth SKIN--Hives, itchy rash, and/or swelling about the face or extremities\u003Cbr>THROAT--Sense of tightness in the throat, hoarseness and hacking cough GUT--Nausea, stomach ache/abdominal cramps, vomiting and/or diarrhea\u003Cbr>LUNG--Shortness of breath, repetitive coughing, and/or wheezing HEART--“Thready” pulse, “passing out”, fainting, blueness, pale\u003Cbr>GENERAL--Panic, sudden fatigue, chills, fear of impending doom |  |  |  |  |\n\nThis Section To Be Completed By A Licensed Healthcare Provider (LHP):  \nIf a student has symptoms or you suspect exposure (is stung, eats food he/she is allergic to, or exposed to something allergic to):  \n1. Give Epi auto-injector  0.3 mg  Jr. 0.15 mg  \n May repeat Epi auto-injector (if available) in 10-15 minutes if symptoms are not relieved or symptoms return and EMS has not arrived.  \nDocument time medications were given below and alert EMS when they arrive.  \nEpi-pen \\#1 Epi-pen \\#2 Antihistamine Inhaler  \n2. Stay with student.  \n3. CALL 911 – Advise EMS that student has been given Epinephrine  \n4. Notify parents and school nurse.  \n5. After Epi auto-injection given, give Benadryl® or antihistamine   (ml/mg/cc)  \n6. If student has history of Asthma and is having wheezing, shortness of breath, chest tightness with allergic reaction,  \nAfter Epi auto-injection and antihistamine, may give:  \n Albuterol 2 puffs (Pro-air®, Ventolin HFA®, Proventil®)  Albuterol/ Levalbuterol unit dose SVN (per nebulizer)  Levalbuterol 2 puffs (Xopenex®)  Other    \n7. A Student given an Epi auto-injector must be monitored by medical personnel or a parent & may NOT remain at school.  \nSIDE EFFECTS of medication(s):  \nEpi auto-injector: increased heart rate,   \nAntihistamine: sleepy,   \n__ _____ ~~ ~~ _________________  \nAlbuterol/Levalbuterol: increased heart rate, shakiness,    \nStudent may carry & self administer Epi auto-injector +/or antihistamine  Student has demonstrated Epi auto-injector use in LHP’s office  \n Student may carry & self administer Inhaler  Student has demonstrated inhaler use LHP’s office  \n| \u003Cbr>PLEASE COMPLETE THIS SECTION IF THE STUDENT HAS A SEVERE FOOD ALLERGY (required by USDA ) Food Guidelines\u003Cbr> Check here if student will EAT school provided meals during the entire school year. If so, one of the following must be completed.\u003Cbr>1. Foods to omit:__ Suggested general substitutions:  \u003Cbr>2.  Check here if standard substitutions offered in our district are acceptable. (Contact district Food Services Manager for details.) Note: Meals from home provide the safest food option at school.\u003Cbr>|  |  |  |\n| --- | --- | --- | --- |\n|  |  |  |  |\n| LHP Signature:  |  | Print Name:  |  |\n| Start date:  | End date (not to exceed current school year):   Last day of school  Other:  |  |  |\n| Date:  | Telephone \\#:  |  | Fax \\#:  |\n\nStudent:__  \nCare Plan for Severe Allergy – Part 2 – Parent  \nBrief Medical History     \nFood Allergy Accommodations  \n• Foo","cbCaiirzsqqgVmVb","https://ap.wps.com/l/cbCaiirzsqqgVmVb","pdf",582128,"English","# Severe allergic reaction - 504 plan & medication orders\n## Student allergy information\n## Anaphylaxis definition and emergency instructions\n## Usual allergic reaction symptoms\n## Actions by licensed healthcare provider (LHP)\n## Medication dosing, repeat dosing, and aftercare\n## Side effects and self-carry/self-administer rules\n## Severe food allergy food guidelines and accommodations\n## Parent care plan - part 2","[{\"question\":\"What should staff do if the student shows signs of anaphylaxis or possible exposure?\",\"answer\":\"Give the Epi auto-injector and call 911, documenting the time medications are given. Stay with the student, notify parents and the school nurse, and follow the listed after-epinephrine steps.\"},{\"question\":\"When can Epi auto-injector dosing be repeated?\",\"answer\":\"The plan states to repeat the epinephrine auto-injector in 10–15 minutes if symptoms are not relieved or return and EMS has not arrived.\"},{\"question\":\"What happens after epinephrine is administered?\",\"answer\":\"After Epi auto-injection, give Benadryl or an antihistamine, and if the student has asthma and is wheezing or has shortness of breath or chest tightness, give specified bronchodilator options after epinephrine and antihistamine.\"}]","SEVERE ALLERGIC REACTION PLAN - 504 PLAN & MEDICATION ORDERS - Medication orders for students with severe allergies | PDF",1790545615]