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Trinitypawling.org

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!

Source: http://www.trinitypawling.org/uploaded/documents/medical_forms/Emergency_Care_Plan_-_Allergy_2.pdf

Les myopathies

Référentiel National – Collège des Enseignants de Neurologie – Version du 30/08/02 MYOPATHIES (hors liste CPNEM) 1.1 Enoncer les principaux éléments diagnostiques et pronostiques1.2 Enoncer les examens complémentaires permettant de conforter le diagnostic demyopathie1.3 Arguments du diagnostic et principes thérapeutiques des dermatopolymyosites1.4 Citer les causes des myopathie

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