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Table 4 Components of an anaphylaxis action plan [6, 18]

From: Anaphylaxis

Contact details
• Names and contact details for emergencies, including family members, allergist/immunologist and family doctor
• Contact details for local emergency or ambulance services
Allergens/Triggers
• Clear identification of allergens/triggers to be avoided
 – Include generic and proprietary names of drugs and possible cross-sensitivities, if relevant
How to recognize the signs and symptoms of anaphylaxis
Mouth: itching, swelling of lips/tongue
Throat: itching, tightness, closure, hoarseness
Skin: itching, hives, eczema, swelling, flushing
Gut: vomiting, diarrhea, abdominal pain
Lung: shortness of breath, cough, wheeze
Heart: hypotension, dizziness, syncope, tachycardia
Neuro (or head): light-headedness
Other: feeling of impending doom, anxiety
Medications prescribed and when they should be used
• Epinephrine auto-injectors (first-line); should include detailed instructions (with photographs, if possible) on how to correctly administer the auto-injector device (for daycare, school and/or office staff)
• Antihistamines (for cutaneous symptoms)
• Inhaled beta2-agonists (for bronchospasm)
Where medication is stored at home, work or school
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