Epinephrine Medication Forms

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Food allergies are a serious health concern for students.  An estimated 4% to 6% of U.S. children under age 18 have food allergies.  Food allergies affect 1 in every 13 children and nearly 40% of children with food allergies have a history of a severe reaction.  Some reactions to food can be mild and resolved with antihistamine medication (Benadryl).  Some reactions can result in an anaphylactic reaction which can be life threatening.  

Symptoms of an anaphylactic reaction can include swelling of the throat and tongue, difficulty breathing, skin reactions including hives, vomiting, abdominal cramps, diarrhea, drop in blood pressure, and loss of consciousness.  These reactions require the administration of epinephrine to alleviate symptoms till further emergency intervention can be acquired.  Students who receive epinephrine at school will be sent to the hospital for further treatment.  
Please find below the forms needed to be filled out by parents and by a student's physician regarding epinephrine administration at school.  Please print these out and return completed forms to the school nurse, along with prescribed medications.  For further information on food allergies please visit the food allergy field guide.  This is an important link provided by the food allergy research education foundation.  For this link see important links on my web site.