Trinity-Pawling School Health Center 700 Route 22 Phone 845 855-4848 Pawling, New York 12564 Fax 845 855-4851 Ema [email protected] Emergency Care Plan – Allergy School Year 2011-2012 Student Name___________________________ Birthdate ___________________________ Grade ________ Identified Allergen(s) (drug/food/environmental) ___________________________________________________ History of Asthma yes (w/ asthma, student has no higher risk of severe reaction) Contact Info:
Mother’s name _________________________ Phone (h) _______________ (w/c)________________ Father’s name _________________________ Phone (h)_______________ (w/c)_______________ Emergency contact ______________________ Phone (h)_______________ (w/c)________________
Parent signature _________________________ Date _______________ TREATMENT – To be completed by a healthcare professional If the student is e xperiencing the following symptoms, administer the indicated medication: Symptoms Give Checked Medication General: Dizziness, loss of consciousness, feeling of panic or doom, chills ……………….( ) Epinephrine ( ) Benadryl Mouth: Itching, tingling, swelling of lips, tongue, and/or mouth ………………………….( ) Epinephrine ( ) Benadryl Breathing: Shortness of breath, wheezing, congestion, coughing, tightness in throat ….( ) Epinephrine ( ) Benadryl : Nausea, vomiting, abdominal cramps, diarrhea…………………………….….( ) Epinephrine ( ) Benadryl Hives, swelling on face or extremities, rash……………………….………….( ) Epinephrine ( ) Benadryl Treatment sho uld be initiated IMMEDIATELY following exposure without waiting for symptoms to appear. Treatment sh ould be initiated only if symptoms (indicated above) appear. Epinephrine: Inject intramuscularly - Epipen, 0.3 mg Benadryl: Give __________________________________________ (dosage/route) Give __________________________________________ (medication/dosage/route) Please check one of the following: Student is capable of self-administration the following medication(s) ………………( ) Epinephrine ( ) Benadryl Student is NOT capable of self-administration the following medication(s) .…….( ) Epinephrine ( ) Benadryl Student c arries the following with him at all times………………………….…….( ) Epinephrine ( ) Benadryl Physician’ s signature ___________________________ Date _______________________________ Physician’s name (print) ________________________ Phone number ______________________ If Epi-pen is administered, call 911 immediately!
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ANTIMICROBIANOS: TABLA DE DOSIS EN NEONATOLOGIA Dosis ( mg/kg/dosis ) e intervalos de administración ( hrs ) ANTIBIÓTICO Peso <1200 g 1200-2000 g > 2000 g >45 SEM EG Observaciones Edad 0-7 días >7 días 0-7 días >7 días > 1 MES Encefalitis herpética : 20 c/ 8 Aciclovir Varicela: 10 c/ 8 Varicela