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Prescribe an EpiPen to every patient who has a history of, or is at risk for, anaphylaxis.
Clinical Reasoning Skills
Treatment
Educate appropriate patients with allergy (e.g., to food, medications, insect stings) and their families about the symptoms of anaphylaxis and the self-administration of the EpiPen, and advise them to return for immediate reassessment and treatment if those symptoms develop or if the EpiPen has been used.
Clinical Reasoning Skills, Patient Centered Approach
Treatment, Follow-up
Advise patients with any known drug allergy or previous major allergic reaction to get a MedicAlert bracelet.
Clinical Reasoning Skills, Patient Centered Approach
Treatment
In a patient presenting with an anaphylactic reaction: Recognize the symptoms and signs.
Selectivity, Clinical Reasoning Skills
Diagnosis
In a patient presenting with an anaphylactic reaction: Treat immediately and aggressively.
Selectivity, Clinical Reasoning Skills
Treatment
In a patient presenting with an anaphylactic reaction: Prevent a delayed hypersensitivity reaction through observation and adequate treatment (e.g., with steroids).
Clinical Reasoning Skills
Treatment
In patients with anaphylaxis of unclear etiology refer to an allergist for clarification of the cause.
Clinical Reasoning Skills
Referral
In the particular case of a child with an anaphylactic reaction to food:Prescribe an EpiPen for the house, car, school, and daycare.
Clinical Reasoning Skills
Treatment
In the particular case of a child with an anaphylactic reaction to food:Advise the family to educate the child, teachers, and caretakers about signs and symptoms of anaphylaxis, and about when and how to use the EpiPen.
Clinical Reasoning Skills
Treatment
In a patient with unexplained recurrent respiratory symptoms, include allergy (e.g., sick building syndrome, seasonal allergy) in the differential diagnosis.
Clinical Reasoning Skills
Hypothesis generation
To generate individual key feature specific field notes, click on the theme link for the desired key feature. To generate field notes for all key features resulting from your search, click on the button at the bottom of the search page.

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