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ALLERGY & ANAPHYLAXIS EMERGENCY ACTION PLAN  Form

ALLERGY & ANAPHYLAXIS EMERGENCY ACTION PLAN Form

Use a ALLERGY & ANAPHYLAXIS EMERGENCY ACTION PLAN template to make your document workflow more streamlined.

Cough Heart-pale blue faint weak pulse dizzy Throat-tight hoarse trouble breathing or swallowing Mouth-significant swelling of the tongue and/or lips Skin-Many hives over body widespread redness Gut-Repetitive vomiting severe diarrhea Other-Feeling something bad is about to happen anxiety confusion INJECT EPINEPHRINE IMMEDIATELY. Healthcare Provider print Signature Date 3/21/17 UDOH IHP104. 1 Page 1 of 2 PARENT TO COMPLETE Parental Responsibilities The parent or guardian is to furnish the...
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