Anaphylaxis is a severe, allergic reaction that can gets worse quickly and can become deadly. It causes itching, hives, facial and other swelling, and breathing problems. The most common reactions are to food, insect stings, and medicine.
Emergency care is needed right away. Home care can help with healing. Lifestyle changes will be needed to lower the risk of another reaction.
Keep a journal of the foods, insect stings, or medicines that cause allergic reactions. Share this with your doctor. It will help to learn what triggers your reactions and how to lower your risk.
Caregivers should work with their child's doctor to make an allergy and anaphylaxis emergency plan. Share the plan with your child's daycare, school, and other caregivers.
Be prepared for any new reactions:
Do not eat foods that trigger allergic reactions. Sometimes, ingredients are hidden or added by accident.
Some tips are:
Children should not share foods, food utensils, or food containers.
You can slowly return to normal activities as you are able. People who have allergies that are triggered by exercise should not do things that trigger the reaction. Stop exercising at the first sign of a reaction.
Return to work when the doctor has said it is okay. Do not drive until the doctor has said it is safe.
An epinephrine self-injector pen may be given to treat a future reaction. It should be kept nearby and injected at the first signs of a problem.
Other medicines may be given to treat allergy symptoms.
When taking medicine:
Your doctor will need to check on your progress. You may need to see a doctor who treats allergies. Be sure to go to all appointments.
Use your epinephrine and call for emergency medical services right away if you have:
If you think you have an emergency, call for medical help right away.
American Academy of Allergy, Asthma, and Immunology
http://www.aaaai.org
Food Allergy Research & Education
http://www.foodallergy.org
Allergy Asthma Information Association
http://aaia.ca
Calgary Allergy Network
http://www.calgaryallergy.ca
Anaphylaxis. EBSCO DynaMed website. Available at:https://www.dynamed.com/condition/anaphylaxis. Updated March 22, 2019. Accessed March 10, 2020.
Shock, anaphylactic. EBSCO Nursing Reference Center website. Available at:https://www.ebscohost.com/nursing/products/nursing-reference-center. Updated September 29, 2017. Accessed March 10, 2020.
4/24/2017 DynaMed Plus Systematic Literature Surveillancehttps://www.dynamed.com/condition/anaphylaxis: Wang J, Sicherer S H, et al. Guidance on completing a written allergy and anaphylaxis emergency plan. Pediatrics. 2017 Mar;139(3). Available at: http://pediatrics.aappublications.org/content/139/3/e20164005. Accessed April 24, 2017.
Last reviewed November 2019 by EBSCO Medical Review Board James P. Cornell, MD Last Updated: 3/10/2020