Type of allergy transmission/trigger:
Note: Do not depend on Antihistamines or inhalers to treat a SEVERE reaction. USE
Extremely reactive to the following foods therefore: If checked, give epinephrine for ANY symptoms if the allergen was likely eaten. If checked, give epinephrine immediately if the allergen was definitely eaten, even if no symptoms are noted.
For the following signs of a mild allergic reaction administer:
Skin: Hives: Mild Itch Stomach: Mild Nausea/Discomfort Other:
Nose: Itchy, Runny, Sneezing Mouth: Itchy
For any of the following signs of a SEVERE allergic reaction or a combination of symptoms from different body areas, give EPINEPHRINE and call 911. If prescribed and directed. Give other medications (antihistamine/inhaler Lay person flat. If breathing is difficult or vomiting, place on side, or sit up.
Mouth: Significant swelling of tongue and/or lips pulse, dizzy
Throat: Tight, hoarse, trouble breathing/swallowing Skin: Many hives over body, widespread redness, severe diarrhea vomiting. severe diarrhea Other: Feeling something bad is about to happen; anxiety, confusion Other Medication Instructions:
Lungs: Short of breath Stomach: Repetitive