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Anaphylaxis Emergency Action Plan - AAAAI

Anaphylaxis Emergency Action plan Patient Name: _____ Age: _____. Allergies: _____. Asthma Yes (high risk for severe reaction) No Additional health problems besides Anaphylaxis : _____. _____. Concurrent medications: _____. _____. Symptoms of Anaphylaxis MOUTH itching, swelling of lips and/or tongue THROAT* itching, tightness/closure, hoarseness SKIN itching, hives, redness, swelling GUT vomiting, diarrhea, cramps LUNG* shortness of breath, cough, wheeze HEART* weak pulse, dizziness, passing out Only a few symptoms may be present. Severity of symptoms can change quickly.

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