Student Allergies

The following medications are routinely utilized in the school clinic:

• Alcohol
• Neosporin/polysporin
• Solarcaine spray
• Anti-fungal cream
• Medi-Quick spray
• Stink Kill/After Bite
• Peroxide
• Caladryl Gel
• Cortisone Cream
• Ambesol or Orajel
• Benedryl syrup

**Please cross out medications that you DO NOT wish to be used for your child.**

Severe Allergy Care Plan

My child is severely allergic to: __________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Date of last reaction: __________________________________________________________

Treatment included: ___________________________________________________________

Symptoms seen during previous reactions: _______________________________________

_____________________________________________________________________________

Action:

If exposure occurs, or is suspected, and symptoms are mild (localized redness/swelling/pain at exposure site only), or if ingestion of known allergic substance occurs, or is suspected, and child is exhibiting only mild symptoms (itchy rash or nausea, cramps, vomiting and/or diarrhea), administer oral antihistamine, Benadryl: _____________ mg by mouth; and observe in clinic. Notify parent and follow parent instructions regarding child returning to class or being picked up.

If symptoms are severe (swelling and/or itching of lips, tongue, mouth, tightness of throat, hoarseness, shortness of breath, repetitive coughing, wheezing, “thready” pulse, passing out), proceed with Step #2.

Step #2: Administer Epi-Pen in outer thigh. Hold Epi-Pen against outer thigh for count of 10.

CALL 911! Notify parent! Medication will last 15 – 20 minutes and may need to be repeated.

If your child has a severe allergy to food / bee stings, please make a doctor-prescribed Epi-Pen available in the clinic for your child’s health and safety.