Patient discussions

If an allergic reaction to a substance is suspected, with difficulties breathing or raised splotches on the skin, patients are advised to contact emergency services immediately.

Refer the patient to an allergy/immunology specialist, who can play a uniquely important role in preparing the patient for self-treatment in the community, confirmation of the trigger of an anaphylactic episode, education regarding allergen avoidance, and immune modulation.[53]

Identification of the causative allergen must be attempted, and patients advised to avoid this material and to carry two epinephrine (adrenaline) auto-injectors to prevent dangerous outcomes after exposure.[90]

The American Academy of Pediatrics recommends providing a written emergency plan for children at risk of anaphylaxis.[83][91] American Academy of Pediatrics: allergy and anaphylaxis emergency plan Opens in new window

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