managing food allergy in schools lindsay brown allergy nurse southampton children’s hospital
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Managing food allergy in schools
Lindsay BrownAllergy Nurse
Southampton Children’s Hospital
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Allergy
… is the inappropriate & harmful response of the body’s immune system to normally harmless substances
Eczema – Food Allergy – Asthma – Hayfever
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The culprits
• Eggs • Milk • Peanuts• Tree nuts• Sesame• Fish• Shellfish• Soya
• Wasp / bee venom• Latex• Medicines• Animals• Pollens
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Allergic Reactions• 20% of allergic reaction occur at school• Reactions can vary. They can be mild to
severe (Anaphylaxis).• Reactions usually develop rapidly but can
take several hours.• Reactions can be
–Uni-phasic or–Bi-phasic
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Management of food allergy in school• Parents to inform the school• Written allergy management plan• Identified by all staff• Allergen avoidance• Risk assessment• Staff educated
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Management of an allergic reaction
• Remove the allergen if possible• Treat the reaction according to the
severity of the symptoms
− Antihistamines
− ADRENALINE• Appropriate aftercare
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Signs of a mild allergic reaction• Eyes:itchy, runny, swollen• Nose: itchy, runny, congested, sneezing• Mouth: itchy or swollen lips or mouth • Skin: hives or nettle rash, itchy rash,
redness, swelling of the face
of other parts of the body.• Gut: nausea, stomach cramps,
vomiting or diarrhoea
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Management of mild allergic reactions Treat with Antihistamine medication
The child should
Rest
NOT exercise, eat heavy meal, consume fizzy drinks
Observe the child closely for 2 hours
Mild reactions can develop into aSevere reaction / Anaphylaxis
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Severe allergic reaction - anaphylaxis
Airway: tightness or lump in the throat, hoarse voice, hacking cough
Breathing: short of breath, cough, unable to speak in full sentences, noisy
breathing, wheezing
Conscious level: feeling faint, weakness, floppiness, sudden behaviour/mood
change, irritable, persistent crying.
Deterioration: things getting worse
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Anaphylaxis
Any of these symptoms = medical emergency
Give adrenaline autoinjectorEpipen / Jext / Emerade
Call an ambulance - 999Give second adrenaline autoinjector after 5
mins if no improvementStay with the child
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Children’s Allergy TeamSouthampton Children’s Hospital
Tremona Road
Southampton
Hampshire
SO16 6YD
Telephone: 023 8077 7222
Web: www.uhs.nhs.uk/childhealth
For more information on the development at Southampton Children’s Hospital, please see: www.childrenshospital.uhs.nhs.uk