School Nurse Corner: Epinephrine Dosing: When to Upsize
[Source: NASN / School Nurse Net]
by Barbara Singer and Michael Pistiner
Managing anaphylaxis in school is a big job! School nurses are critical partners in the front line of managing anaphylaxis and have crucial roles in policy creation, implementation, and education. School nurses are relied upon to identify and assess students who are experiencing anaphylaxis, and they must have the skills to act swiftly and appropriately when an allergic reaction occurs. In addition, school nurses play an equally important role in training others and working with our nurse and physician colleagues to manage life threatening allergies in the school setting.
This is easier said than done. In this blog, we will address the commonly asked question: What is the correct dose of epinephrine that should be prescribed to a student who is experiencing anaphylaxis?
Students who have a known potentially life threatening allergy should have an Anaphylaxis Emergency Care Plan (ECP) at school.The ECP should clearly state epinephrine as the drug of choice to treat anaphylaxis as delays in treatment can increase the risk of death.
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