Emergency Protocol for Medication-Related Reaction
- Extreme Allergic Reaction: An extreme sensitivity may cause a reaction. A reaction is rare and an extremely serious situation. The reaction may start rapidly, be brief, and require immediate action.
B. Symptoms mat include any change in behavior and are not limited to:
- Feeling of apprehension, sweating, weakness.
- Nausea, vomiting, abdominal pain, diarrhea.
- Low blood pressure with weak, rapid pulse.
- Flushing, hives, itching.
- Shallow respirations, difficulty breathing.
- Nasal congestion, itching, sneezing, wheezing.
- Seizures, loss of consciousness, shock, coma.
- Difficulty walking, blue/gray lips or fingernails.
C. Procedure:
- Get help. Stay with the individual with the reaction. Observe symptoms, note time.
- Immediate call to emergency service for transportation to health facility per emergency plan.
Example: call 911 in extreme reaction.
- Immediate adrenaline subcutaneous injection. Per standing orders.
- Continue observing vital signs (respirations, blood pressure, pulse, and level of consciousness). Provide emergency personnel with health information and summary of reaction.
- Notify school nurse, parent/guardian, and physician.
- If student is still at school in 15-20 minutes, repeat adrenaline dose.
D. Follow-up:
- Complete school incident report.
- Consult with parent/guardian and physician on appropriate individual school emergency health plan.
Reviewed: 10/16