Nurse's Corner » Anaphylaxis Plans

Anaphylaxis Plans

Anaphylaxis Emergency Plan
Emergency plan is for the staff member/student with signs and symptoms of having an anaphylaxis reaction.
 A person having an anaphylactic reaction might have ANY of these signs and symptoms:
  • Skin system: hives, swelling (face, lips, tongue), itching, warmth, redness. 
  • Respiratory system (breathing): coughing, wheezing, shortness of breath, chest pain or tightness, throat tightness, hoarse voice, nasal congestion or hay fever-like symptoms (runny, itchy nose and watery eyes, sneezing), trouble swallowing.
  •  Gastrointestinal system (stomach): nausea, pain or cramps, vomiting, diarrhea 
  • Cardiovascular system (heart): paler than normal skin color/blue color, weak pulse, passing out, dizziness or lightheadedness, shock 
  • Other: anxiety, sense of doom (the feeling that something bad is about to happen), headache, uterine cramps, metallic taste

Early recognition of symptoms and immediate treatment could save a person’s life.


Act quickly.



Give epinephrine auto-injector, if available (e.g. EpiPen®, ALLERJECT®, Emerald TM) at the first sign of a known or suspected anaphylactic reaction.


  1. Call 9-1-1 or local emergency medical services. Tell them someone is having a life-threatening allergic reaction. 


  1. Give a second dose of epinephrine as early as 5 minutes after the first dose if there is no improvement in symptoms.


  1. Call the emergency contact person (e.g. parent, guardian).


*Usage of an unassigned epinephrine auto-injector must be reported no later than 10 days post injection to:


  • school district
  • prescribing physician
  • commissioner of the Department of State Health Services (DSHS)