My first time...

Specialties School

Published

...giving Epi for an undiagnosed allergy. Just after getting my standing Epi orders. Student presented with hives on face and arms. Rash has been occurring on/off for a couple of week on different parts of student's body. Was given benadryl by doctor. Got benadryl from me, but rash spread and student started reporting trouble swallowing and that throat felt "weird." Wasn't taking any chances. Hives disappeared and vitals stable after Epi when EMS arrived. Transported for work up. We shall see what happens after the ED visit.

I feel like I just gave my first Epi-pen all over again.

Specializes in School nursing.

Update: Student back in school today. Now has prescription for Epi and EpiPen in backpack. Was seen by allergy. No idea what allergen is yet, but tests done and significant swelling seen in her throat. I feel even better that I used my stock epi now.

(Student also wrote me the sweetest thank you email. I'm going to print it and look at it when I need to remember how important being a school nurse really is.)

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Way to go! Awesome judgment on your part as well. Your school is lucky to have you.

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Specializes in NCSN.

Awesome job!!

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Specializes in Peds, School Nurse, clinical instructor.

Awesome job...it is a shame there is not a requirement to have a nurse in all schools.

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Specializes in School.

Great Job!!!!!

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Specializes in School Nursing, Hospice,Med-Surg.

I couldn't possibly love this thread any more!!

I've got the feels!

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Student also wrote me the sweetest thank you email. I'm going to print it and look at it when I need to remember how important being a school nurse really is.

I LOVE THIS!!!!!

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Specializes in ICU/community health/school nursing.
I couldn't possibly love this thread any more!!

I've got the feels!

All the feels. Leaking out of me!!!!

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It's not uncommon for the hives to show up in multiple places. I'm interested to hear how this turns out...hives doesn't always equate anaphylaxis, to the best of my knowledge.

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Specializes in Sub-Acute, School Nursing, Dialysis.

Great job, Jen!!! OldDude, you are amazing, I find your posts to be awesome!! Miss being in a school nurse's office!

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Specializes in ED, School Nurse.
It's not uncommon for the hives to show up in multiple places. I'm interested to hear how this turns out...hives doesn't always equate anaphylaxis, to the best of my knowledge.

I'm fairly certain it was the throat feeling "weird" and trouble swallowing PLUS hives that triggered the Epi-pen administration. Not just the hives themselves.

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Specializes in School nursing.
I'm fairly certain it was the throat feeling "weird" and trouble swallowing PLUS hives that triggered the Epi-pen administration. Not just the hives themselves.

You are correct. The rash and (rotating) hives triggered the Benadryl administration. This is all part of my school's Allergic Reaction Action Plan, which follows guidelines set by several sources, including NASN.

Further update: student still experiencing rash with what appears to be a hive or two occasionally. No further symptoms (thankfully), but I will be very curious when the allergy testing is complete.

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