Child 3 years old and over NHS Calderdale NHS Kirklees
Child: (name/DoB) is allergic to and reacted in the following way WHAT TO DO IF THIS CHILD IS HAVING AN ANAPHYLACTIC REACTION Have they got any of the following?
Have they got any of the following?
Swollen tongue or tight throat with breathing problems Difficulty in breathing or wheeze Lapsing into unconsciousness Sudden collapse
Itchy skin or rash Diarrhoea or vomiting Colicky tummy ache High temperature
Yes
Yes
Severe Reaction
Mild Reaction
1. Remove the cause of the reaction if possible (e.g. sting, food, drug)
1. Remove the cause of the reaction if possible (e.g. sting, food, drug)
2. Give Adrenaline injection (Epipen) into thigh.
2. Give cetirizine
3. Dial 999 for ambulance: tell them that the child is having an anaphylactic reaction. 4. Give reliever inhaler if the child suffers with asthma 5. If child conscious and able to swallow give cetirizine
Under 6 years5mg (5ml of oral solution) Over 6 years10mg (10ml of oral solution or 1 tablet)
Contact the parents and keep child under observation until they arrive.
Under 6 years5mg (5ml of oral solution) Over 6 years10mg (10ml of oral solution or 1 tablet)
3. Parents should be advised to contact GP or go to Accident and Emergency Department.
6. If no improvement after 5 minutes give the second adrenaline injection (as per Resuscitation Council guidelines).
4. If the reaction becomes more severe then follow the instructions for severe reaction
7. Inform parents.
Please ensure drug doses are reviewed at least once a year by your Doctor Signed Name
Date Status
Adapted from recommendations from the Resuscitation Council, Leeds Teaching Hospitals NHS Trust and Cardiff and Vale NHS Trust guidelines. Document produced by; Dr J Garside, Consultant Paediatrician/ Ann Coleman, Directorate Pharmacist for CWF Directorate Calderdale and Huddersfield NHS Trust, April 2005. Amended December 2008, amended 2012 Approved by: CHFT Medicines Management Committee September 2012 Review Date: September 2014