Alergia na orzeszki ziemne
Charakterystyka, pielęgnacja i opieka
Alergia na orzeszki ziemne, dotykająca około 2,5% dzieci w USA, jest jedną z najczęstszych i najgroźniejszych alergii pokarmowych, często prowadzącą do anafilaksji. Diagnostyka wymaga szczegółowego wywiadu klinicznego, testów skórnych, oznaczenia swoistych IgE oraz prób prowokacyjnych, które powinny być przeprowadzane pod nadzorem medycznym. Kluczową rolę w procesie diagnostycznym i edukacyjnym odgrywają pielęgniarki, które monitorują stan pacjenta, prowadzą wywiad alergologiczny oraz edukują na temat unikania alergenów i stosowania autostrzykawek z adrenaliną (EpiPen, Auvi-Q). W przypadku anafilaksji konieczne jest natychmiastowe podanie adrenaliny domięśniowo w dawce zgodnej z wytycznymi oraz szybkie wezwanie pomocy medycznej. Długoterminowe zarządzanie obejmuje unikanie orzeszków ziemnych, noszenie dwóch dawek adrenaliny oraz opracowanie indywidualnych planów opieki, takich jak IHCP i Plan 504, szczególnie w środowisku szkolnym.
- Alergia na orzeszki ziemne – wprowadzenie
- Opieka pielęgniarska w diagnostyce alergii na orzeszki ziemne
- Plany opieki pielęgniarskiej dla pacjentów z alergią na orzeszki ziemne
- Postępowanie w reakcjach alergicznych na orzeszki ziemne
- Długoterminowe zarządzanie alergią na orzeszki ziemne
- Unikanie alergenów
- Autostrzykawki z adrenaliną
- Edukacja pacjentów i rodzin
- Opieka w środowisku szkolnym
- Nowe metody leczenia alergii na orzeszki ziemne
- Rola zespołu interprofesjonalnego w opiece nad pacjentami z alergią na orzeszki ziemne
- Podsumowanie aspektów pielęgniarskich w opiece nad pacjentami z alergią na orzeszki ziemne
Alergia na orzeszki ziemne – wprowadzenie
Alergia na orzeszki ziemne jest jedną z najczęstszych alergii pokarmowych, dotykającą około 2,5% dzieci w Stanach Zjednoczonych i stanowiącą istotny problem zdrowotny na całym świecie12. Jest to stan, w którym układ odpornościowy organizmu błędnie identyfikuje białka orzeszków ziemnych jako szkodliwe i reaguje na nie w sposób nadmierny, co może prowadzić do szeregu objawów o różnym nasileniu, od łagodnych do zagrażających życiu34. Alergia na orzeszki ziemne jest najczęstszą przyczyną anafilaksji związanej z pokarmem, stanowiąc poważne zagrożenie dla zdrowia i życia pacjentów5. Reakcja alergiczna zwykle pojawia się w pierwszych latach życia i w przeciwieństwie do wielu innych alergii pokarmowych, alergia na orzeszki ziemne często utrzymuje się przez całe życie, ustępując jedynie u około 20% dzieci67.
Opieka pielęgniarska w diagnostyce alergii na orzeszki ziemne
Diagnostyka alergii na orzeszki ziemne jest procesem złożonym, który wymaga dokładnej oceny historii medycznej pacjenta, badania fizykalnego oraz specjalistycznych testów alergicznych89. Rola personelu pielęgniarskiego w tym procesie jest kluczowa, obejmując rozpoznawanie objawów oraz przeprowadzanie wywiadu ukierunkowanego na alergię.
Wywiad alergologiczny
Pielęgniarki z odpowiednim przeszkoleniem w zakresie alergii powinny umieć rozpoznawać objawy alergii pokarmowej i przeprowadzać szczegółowy wywiad ukierunkowany na alergię, co stanowi kluczowy krok w kierunku diagnozy10. Zgodnie ze standardami jakości NICE dotyczącymi alergii pokarmowych, osoby sprawujące opiekę zdrowotną muszą zapewnić, że pracownicy ochrony zdrowia potrafią rozpoznać oznaki i objawy alergii pokarmowej i przeprowadzić wywiad kliniczny ukierunkowany na alergię11.
Podczas wywiadu pielęgniarka powinna zebrać informacje dotyczące:12
- Rodzaju i ilości spożytych orzeszków ziemnych lub produktów je zawierających
- Czasu wystąpienia objawów po ekspozycji
- Dokładnego opisu objawów i ich nasilenia
- Historii wcześniejszych reakcji
- Rodzinnej historii alergii
- Współistniejących schorzeń, szczególnie astmy, która może nasilać reakcje alergiczne
Testy diagnostyczne
Diagnostyka alergii na orzeszki ziemne może obejmować różne testy, które powinny być przeprowadzane przez wykwalifikowany personel medyczny w warunkach umożliwiających natychmiastową interwencję w przypadku wystąpienia ciężkiej reakcji15. Najczęściej stosowane testy to:
- Testy skórne (punktowe) – szybka metoda wykrywania obecności przeciwciał IgE specyficznych dla alergenów orzeszków ziemnych
- Badania krwi (oznaczenie swoistych IgE) – oznaczenie poziomu przeciwciał IgE specyficznych dla alergenów orzeszków ziemnych w surowicy krwi
- Próby prowokacyjne (doustne) – kontrolowane podawanie małych ilości orzeszków ziemnych pod nadzorem medycznym w celu oceny reakcji organizmu
Pielęgniarki odgrywają kluczową rolę w przygotowaniu pacjenta do testów, monitorowaniu jego stanu podczas badań oraz edukacji na temat procesu diagnostycznego18.
Plany opieki pielęgniarskiej dla pacjentów z alergią na orzeszki ziemne
Po zdiagnozowaniu alergii na orzeszki ziemne, zespół medyczny powinien opracować szczegółowy plan opieki dla pacjenta. W przypadku dzieci uczęszczających do szkoły, niezbędne jest stworzenie szkolnych planów opieki zdrowotnej19.
Indywidualny Plan Opieki Zdrowotnej (IHCP)
IHCP to plan opieki pielęgniarskiej, który służy zarówno celom administracyjnym, jak i klinicznym. Powinien zawierać Plan Postępowania w Sytuacjach Awaryjnych (ECP) dotyczący zarządzania i leczenia reakcji alergicznej20. Plan IHCP określa, co szkoła będzie robić, aby stworzyć i utrzymać bezpieczne środowisko dla dziecka, w tym szczegóły dotyczące działań personelu szkolnego w celu zmniejszenia ryzyka ekspozycji na alergeny, rozpoznawania objawów reakcji alergicznej i wdrażania odpowiedniego leczenia21.
Plan 504
Plan 504 dotyczy tego, co szkoła będzie robić, aby stworzyć i utrzymać bezpieczne środowisko szkolne dla dziecka. Chociaż cel Planu 504 jest zasadniczo taki sam jak IHCP, Plan 504 jest prawnie egzekwowalny22. Pisemny szkolny plan opieki zdrowotnej pomaga wszystkim zrozumieć swoją rolę w zapewnieniu bezpieczeństwa dziecka w szkole i może zmniejszyć ryzyko nieporozumień23.
Plan działania w przypadku anafilaksji
Wszyscy pacjenci z potwierdzoną alergią na orzeszki ziemne powinni mieć opracowany plan działania w przypadku anafilaksji24. Plan ten pomaga w przygotowaniu się do, rozpoznawaniu i leczeniu reakcji alergicznej25. Powinien zawierać:
- Informacje o objawach anafilaksji
- Instrukcje dotyczące podawania adrenaliny (epinefryny)
- Dane kontaktowe w nagłych wypadkach
- Listę leków pacjenta
- Jasne wytyczne dotyczące dalszego postępowania po podaniu adrenaliny
Postępowanie w reakcjach alergicznych na orzeszki ziemne
Reakcje alergiczne na orzeszki ziemne mogą mieć różne nasilenie, od łagodnych objawów skórnych po zagrażającą życiu anafilaksję28. Pielęgniarki muszą być przygotowane do rozpoznawania i odpowiedniego reagowania na różne typy reakcji.
Łagodne i umiarkowane reakcje alergiczne
Objawy łagodnych do umiarkowanych reakcji alergicznych mogą obejmować:
- Pokrzywkę (uniesione, czerwone obszary na skórze)
- Obrzęk warg, twarzy lub oczu
- Świąd lub mrowienie w ustach
- Nudności lub wymioty
- Ból brzucha
- Biegunkę
W przypadku łagodnych reakcji, leczenie może obejmować podanie leków przeciwhistaminowych, takich jak loratadyna (Claritin) lub cetyryzyna, zgodnie z zaleceniami lekarza3132.
Ciężkie reakcje alergiczne (anafilaksja)
Anafilaksja jest najcięższą formą reakcji alergicznej, zagrażającą życiu i stanowiącą stan nagły33. Objawy anafilaksji mogą obejmować:
- Obrzęk gardła
- Trudności w oddychaniu
- Ucisk w klatce piersiowej
- Pokrzywkę na całym ciele
- Nagły spadek ciśnienia krwi
- Bladość skóry lub sinienie warg
- Omdlenia i zawroty głowy
Anafilaksja wymaga natychmiastowego leczenia. Działania pielęgniarskie w przypadku anafilaksji obejmują:
- Podanie adrenaliny (epinefryny) przy użyciu autostrzykawki (EpiPen, Auvi-Q) domięśniowo w boczną część uda
- Wezwanie pomocy medycznej (911 lub lokalny numer alarmowy)
- Ułożenie pacjenta na plecach z uniesionymi nogami, jeśli występuje niedociśnienie
- Zapewnienie drożności dróg oddechowych
- Monitorowanie funkcji życiowych
- Podanie drugiej dawki adrenaliny po 5 minutach, jeśli objawy nie ustępują
Adrenalina jest lekiem pierwszego rzutu w leczeniu anafilaksji. Jest to jedyny środek, który wykazał zmniejszenie liczby hospitalizacji i zgonów u osób doświadczających reakcji anafilaktycznej39. Drugą i trzecią linię leczenia anafilaksji stanowią leki przeciwhistaminowe H1, leki przeciwhistaminowe H2 i glikokortykosteroidy40.
Po ciężkiej reakcji alergicznej pacjent powinien zostać skierowany do specjalisty alergologa w celu dokładnego zdiagnozowania czynnika wywołującego i zapewnienia długoterminowego leczenia41.
Długoterminowe zarządzanie alergią na orzeszki ziemne
Postępowanie w alergii na orzeszki ziemne opiera się głównie na unikaniu orzeszków ziemnych i produktów je zawierających oraz na przygotowaniu do natychmiastowej reakcji w przypadku przypadkowej ekspozycji42.
Unikanie alergenów
Najskuteczniejszym sposobem zapobiegania reakcjom alergicznym jest całkowite unikanie orzeszków ziemnych i produktów je zawierających4344. Pielęgniarki powinny edukować pacjentów w zakresie:
- Dokładnego czytania etykiet produktów spożywczych
- Unikania produktów, które mogą zawierać śladowe ilości orzeszków ziemnych
- Informowania personelu restauracji i innych miejsc spożywania posiłków o swojej alergii
- Unikania dzielenia się jedzeniem z innymi
- Mycia rąk przed jedzeniem
Pielęgniarki powinny również edukować pacjentów na temat potencjalnych źródeł „ukrytych” orzeszków ziemnych, takich jak sosy, wypieki, mrożone desery czy dania wegetariańskie48.
Autostrzykawki z adrenaliną
Wszyscy pacjenci z alergią na orzeszki ziemne powinni nosić przy sobie dwie autostrzykawki z adrenaliną (EpiPen, Auvi-Q) i wiedzieć, jak je prawidłowo stosować4950. Pielęgniarki są odpowiedzialne za:
- Edukację pacjentów i opiekunów w zakresie prawidłowego stosowania autostrzykawek
- Informowanie o konieczności noszenia dwóch dawek adrenaliny
- Edukację na temat prawidłowego przechowywania autostrzykawek
- Przypominanie o regularnym sprawdzaniu daty ważności
- Informowanie o konieczności wezwania pomocy medycznej po podaniu adrenaliny, nawet jeśli objawy ustąpią
Edukacja pacjentów i rodzin
Edukacja jest kluczowym elementem długoterminowego zarządzania alergią na orzeszki ziemne54. Pielęgniarki powinny edukować pacjentów i ich rodziny w zakresie:
- Rozpoznawania objawów reakcji alergicznej
- Postępowania w przypadku reakcji alergicznej
- Noszenia identyfikatora medycznego (bransoletka, medalion) z informacją o alergii
- Informowania wszystkich opiekunów, nauczycieli, współpracowników o alergii
- Tworzenia bezpiecznego środowiska w domu, szkole i innych miejscach
Opieka w środowisku szkolnym
Pielęgniarki szkolne odgrywają kluczową rolę w zapewnieniu bezpieczeństwa dzieciom z alergią na orzeszki ziemne w środowisku szkolnym58. Ich zadania obejmują:
- Tworzenie planów zarządzania dla osób z alergią na orzeszki ziemne
- Wiedzę na temat reagowania w przypadku ciężkiej reakcji alergicznej lub nagłej anafilaksji
- Edukację innych członków personelu szkolnego w zakresie pomocy w utrzymaniu bezpieczeństwa osób z alergią
- Wdrażanie strategii zapobiegania ekspozycji na alergeny w szkole
- Przechowywanie i podawanie leków ratujących życie
Ważne jest, aby pielęgniarki szkolne wiedziały, że sama polityka „szkoły wolnej od orzeszków ziemnych” może nie być skuteczna w zapobieganiu reakcjom alergicznym. Szkoły muszą stosować sprawdzone strategie, które obejmują mycie rąk/ust, zakaz dzielenia się żywnością i świadomość ograniczeń żywieniowych dziecka61.
Nowe metody leczenia alergii na orzeszki ziemne
Choć unikanie alergenów pozostaje podstawową metodą postępowania w alergii na orzeszki ziemne, prowadzone są badania nad nowymi terapiami, które mogą zmniejszyć ryzyko ciężkich reakcji, w tym anafilaksji62.
Immunoterapia doustna (OIT)
Immunoterapia doustna (OIT) jest obiecującym podejściem do desensytyzacji alergenowej dla dzieci z alergią na orzeszki ziemne63. Polega na stopniowym wprowadzaniu małych ilości orzeszków ziemnych do diety pacjenta pod nadzorem medycznym, aby zmniejszyć wrażliwość na alergeny64.
Na rynku dostępny jest już zatwierdzony przez FDA produkt do immunoterapii doustnej – Palforzia – dla dzieci w wieku 4-17 lat z potwierdzoną alergią na orzeszki ziemne6566. Celem terapii jest desensytyzacja dzieci w przypadku przypadkowej ekspozycji na orzeszki ziemne, choć nie jest to lekarstwo na alergię67.
Rola pielęgniarki w immunoterapii doustnej obejmuje:68
- Edukację pacjentów i rodzin na temat procesu terapii
- Monitorowanie pacjentów podczas wizyt związanych z eskalacją dawki
- Ocenę astmy i innych form chorób alergicznych, które mogą wpływać na terapię
- Edukację w zakresie rozpoznawania i leczenia w nagłych wypadkach zagrażających życiu reakcji alergicznych
- Instruktaż dotyczący stosowania autostrzykawki z adrenaliną
Ważne jest, aby pielęgniarki podkreślały, że OIT nie jest lekiem na alergię na orzeszki ziemne. Dzieci nadal muszą unikać pokarmów zawierających orzeszki ziemne, a autostrzykawka z adrenaliną powinna być zawsze noszona przy sobie7172.
Wczesne wprowadzanie orzeszków ziemnych
Nowe badania sugerują, że wczesne wprowadzenie orzeszków ziemnych do diety niemowląt może pomóc zapobiec rozwojowi alergii, szczególnie u dzieci z grupy wysokiego ryzyka7374. Badania wykazały silny związek między wczesną ekspozycją na orzeszki ziemne a niższym ryzykiem alergii pokarmowej75.
W 2017 roku Narodowy Instytut Alergii i Chorób Zakaźnych (NIAID) wydał zaktualizowane wytyczne dotyczące definiowania niemowląt o wysokim, umiarkowanym i niskim ryzyku rozwoju alergii na orzeszki ziemne76. Zgodnie z tymi wytycznymi, wprowadzenie orzeszków ziemnych do diety niemowląt z grupy wysokiego ryzyka (z ciężkim wypryskiem, alergią na jaja lub obydwoma) w wieku 4-6 miesięcy może zapobiec rozwojowi alergii na orzeszki ziemne7778.
Pielęgniarki odgrywają kluczową rolę we wdrażaniu tych wytycznych poprzez edukację rodziców na temat bezpiecznego wprowadzania orzeszków ziemnych do diety niemowląt oraz ocenę gotowości niemowląt do bezpiecznego wprowadzenia orzeszków ziemnych79.
Rola zespołu interprofesjonalnego w opiece nad pacjentami z alergią na orzeszki ziemne
Zarządzanie alergią na orzeszki ziemne wymaga zespołu interprofesjonalnego dedykowanego opiece nad pacjentami80. Zespół ten może obejmować lekarzy podstawowej opieki zdrowotnej, alergologów, dietetyków, pielęgniarki, farmaceutów, nauczycieli i innych opiekunów81.
Pielęgniarki, jako kluczowi członkowie tego zespołu, są odpowiedzialne za:8283
- Edukację pacjentów i rodzin na temat alergii na orzeszki ziemne
- Koordynację opieki między różnymi specjalistami
- Zapewnienie pacjentom dostępu do odpowiednich leków i sprzętu medycznego
- Monitorowanie stanu pacjenta i reakcji na leczenie
- Wsparcie emocjonalne dla pacjentów i rodzin
Dietetycy, jako część zespołu interprofesjonalnego, mogą zapewnić spersonalizowane plany i wsparcie w identyfikacji pokarmów, których należy unikać, bez kompromisu w zakresie ogólnego odżywiania pacjenta86.
Farmaceuci mogą pomóc w edukacji pacjentów na temat prawidłowego stosowania i przechowywania autostrzykawek z adrenaliną oraz w dostarczaniu informacji na temat potencjalnych interakcji leków87.
Skuteczna komunikacja między członkami zespołu interprofesjonalnego jest kluczowa dla zapewnienia kompleksowej opieki nad pacjentami z alergią na orzeszki ziemne88.
Podsumowanie aspektów pielęgniarskich w opiece nad pacjentami z alergią na orzeszki ziemne
Pielęgniarki odgrywają kluczową rolę w opiece nad pacjentami z alergią na orzeszki ziemne, obejmującą diagnostykę, leczenie, edukację i długoterminowe zarządzanie89. Ich zadania obejmują:
- Diagnozowanie – rozpoznawanie objawów alergii na orzeszki ziemne i przeprowadzanie ukierunkowanego wywiadu alergologicznego90
- Reagowanie w sytuacjach nagłych – podawanie adrenaliny i innych leków w przypadku reakcji anafilaktycznej91
- Edukacja – nauczanie pacjentów i rodzin o unikaniu alergenów, czytaniu etykiet, używaniu autostrzykawek z adrenaliną92
- Koordynacja opieki – współpraca z innymi specjalistami w celu zapewnienia kompleksowej opieki93
- Wsparcie emocjonalne – pomoc w radzeniu sobie z lękiem i stresem związanym z alergią94
Pielęgniarki pracujące w szkołach mają szczególną odpowiedzialność za tworzenie i wdrażanie planów zarządzania dla dzieci z alergią na orzeszki ziemne oraz za edukację personelu szkolnego w zakresie rozpoznawania i reagowania na reakcje alergiczne9596.
Pielęgniarki podstawowej opieki zdrowotnej mogą również odgrywać rolę we wdrażaniu nowych terapii, takich jak wczesna immunoterapia doustna dla alergii na orzeszki ziemne (P-EOIT), która okazała się bezpieczna i skuteczna w warunkach podstawowej opieki zdrowotnej9798.
Dzięki kompleksowemu podejściu do opieki, pielęgniarki mogą istotnie przyczynić się do poprawy jakości życia pacjentów z alergią na orzeszki ziemne i zmniejszenia ryzyka poważnych reakcji alergicznych99100.
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Materiały źródłowe
- #1 Peanut Allergy (for Parents) | Nemours KidsHealthhttps://kidshealth.org/en/parents/nut-peanut-allergy.html
When your child has a peanut allergy (or any kind of serious food allergy), always keep two doses of epinephrine available in case of a severe reaction. […] Every second counts in an allergic reaction. If your child starts having serious allergic symptoms, like swelling of the mouth or throat or trouble breathing, give the epinephrine right away. […] If your child has a peanut allergy, help them avoid eating peanuts. Read food labels carefully because ingredients can change, and peanuts can be found in unexpected places. […] When eating away from home, make sure your child always has two doses of epinephrine with them that haven’t expired. Also, tell the people preparing or serving your child’s food about the peanut allergy. […] Also talk to the staff at school about cross-contamination risks for foods in the cafeteria.
- #2 Peanut Allergies | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/peanut-allergies
Peanut allergy is one of the most common IgE-mediated food allergies among children. Nearly 2.5 percent of all children in the United States may have an allergy to peanuts. […] If your child experiences any of these symptoms after ingesting a peanut or peanut protein, call your pediatrician and arrange to have your child tested by a pediatric allergist. […] Once your child is confirmed to have a peanut allergy, the first step in treatment is avoiding peanuts and food containing peanuts or peanut protein. […] Your child’s doctor can give you detailed information on how to read food labels to help identify and avoid peanut protein. […] If more than one body system is involved in the allergic reaction for example the skin and lungs it is recommended to use epinephrine. […] Children with peanut allergies should carry epinephrine with them, or it should be readily available at places where they routinely spend time, such as school, daycare and home.
- #3 Peanut allergy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/peanut-allergy/symptoms-causes/syc-20376175
Peanut allergy is a condition that causes the body’s germ-fighting immune system to react to peanuts. It’s one of the most common causes of a life-threatening allergic reaction to food. This life-threatening reaction is known as anaphylaxis. […] Peanut allergy is the most common cause of anaphylaxis due to food. This medical emergency requires treatment with an epinephrine autoinjector (EpiPen, Auvi-Q, others) and a trip to the emergency room. Epinephrine is also called adrenaline. […] Talk to your care team if you have had any signs or symptoms of peanut allergy. Seek emergency treatment if you have a severe reaction to peanuts. […] Peanut allergy occurs when the immune system flags peanut proteins as harmful. When exposed to peanuts, the immune system releases symptom-causing chemicals into the bloodstream. These chemicals cause an allergic reaction.
- #4 Peanut Allergy Symptoms and Treatment | Latitude Food Allergy Carehttps://latitudefoodallergycare.com/allergens/peanut-allergy
Peanut allergy is incredibly common among children and adults. […] Regardless of the cause, since reactions to peanut allergies can be severe, it is essential to diagnose and treat peanut allergy as early as possible. […] Peanut allergy is the most common allergy associated with anaphylaxis, a life-threatening allergic reaction that causes the body to go into shock. […] Should anaphylaxis occur, medical treatment must be sought immediately. Those with a peanut allergy should create an emergency anaphylaxis plan to minimize response time, including keeping two epinephrine auto-injectors accessible at all times. […] A peanut allergy diagnosis does not mean that all nuts must be avoided. […] Once a diagnosis is given, patients should freely eat the foods that they are not allergic to.
- #5 Peanut allergy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/peanut-allergy/symptoms-causes/syc-20376175
Peanut allergy is a condition that causes the body’s germ-fighting immune system to react to peanuts. It’s one of the most common causes of a life-threatening allergic reaction to food. This life-threatening reaction is known as anaphylaxis. […] Peanut allergy is the most common cause of anaphylaxis due to food. This medical emergency requires treatment with an epinephrine autoinjector (EpiPen, Auvi-Q, others) and a trip to the emergency room. Epinephrine is also called adrenaline. […] Talk to your care team if you have had any signs or symptoms of peanut allergy. Seek emergency treatment if you have a severe reaction to peanuts. […] Peanut allergy occurs when the immune system flags peanut proteins as harmful. When exposed to peanuts, the immune system releases symptom-causing chemicals into the bloodstream. These chemicals cause an allergic reaction.
- #6 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Most primary care clinicians will encounter patients with a food allergy. Food items that account for 90% of hypersensitivity reactions include cow’s milk, egg, soy, wheat, peanuts, tree nuts, fish, and shellfish. Peanuts are one of the most frequent food allergens and can cause fatal reactions when ingested. A reaction to peanuts will typically occur in the first few years of life. Peanut allergy is usually lifelong and potentially fatal. This activity addresses the evaluation and management of peanut allergies and highlights the role of the interprofessional team in the care of patients with this condition. […] […] While avoidance of peanuts can solve the problem, the ubiquitous presence of trace amounts of peanuts in food can make complete avoidance impossible, especially in children. This activity provides data on vaccination and adaptive immune-based interventions to prevent peanut allergies. […]
- #7 Peanut Allergies | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/peanut-allergies
If your child has a severe reaction or signs of anaphylaxis, administer epinephrine and then call 911 right away. […] Oral immunotherapy (OIT), may help desensitize your child to peanut. […] Once your child has been diagnosed with a peanut allergy, you and your family will be given more information on how to avoid exposure to peanuts and treat any reactions your child may experience. […] Unlike many other common food allergies, peanut allergies tend to persist into adulthood. Only about 20 percent of children with peanut allergies will outgrow them.
- #8 Peanut allergy – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/peanut-allergy/diagnosis-treatment/drc-20376181
Talking with your healthcare team about your symptoms and medical history starts the process of diagnosis. A physical exam usually follows and these next steps may be needed: […] The standard approach to care for peanut allergy is to avoid foods that contain peanuts. Yet researchers continue to study different therapies that will lessen the chance of severe reactions, including anaphylaxis. […] The only way to prevent a reaction is to avoid peanuts and peanut products altogether. However, peanuts are common. Even when you try your best, you’re likely to come into contact with peanuts at some point. […] If your child has peanut allergy, take these steps to help keep your child safe: […] If you have peanut allergy, do the following: […] If you think you have a peanut allergy, avoid contact with peanuts until you can meet with your care team. If you have a severe reaction, seek emergency help.
- #9 Peanut Allergy | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/allergic-conditions/food/peanut/
An allergy to peanuts is among the most common food allergies found in children in the United States. […] If you suspect a peanut allergy, see an allergist for diagnosis and treatment. […] The most severe allergic reaction to peanuts is anaphylaxis â a life-threatening whole-body response to an allergen. Symptoms may include impaired breathing, swelling in the throat, a sudden drop in blood pressure, pale skin or blue lips, fainting and dizziness. Anaphylaxis should be treated immediately with epinephrine (adrenaline), typically administered in an auto-injector. […] Diagnosing a peanut allergy can be complicated. Symptoms can vary from person to person, and a single individual may not always experience the same symptoms during every reaction. […] Peanut is one of eight allergens with specific labeling requirements under the Food Allergen Labeling and Consumer Protection Act of 2004. Under that law, manufacturers of packaged food products that contain peanut as an ingredient that are sold in the U.S. must include the word âpeanutsâ in clear language on the ingredient label.
- #10 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
The NICE quality standard on food allergy published in March this year states that service providers must ensure that healthcare professionals can recognise the signs and symptoms of food allergy and can take an allergy-focused clinical history. […] It further advises that nurses with training and skills in allergy recognise the signs and symptoms of food allergy and take an allergy-focused clinical history as a key step towards diagnosis. […] As with all allergies, the mainstay of peanut allergy management is allergen avoidance, in this case peanuts and anything containing peanuts or peanut products such as unrefined peanut (arachis) oil. […] When avoidance fails, which is common, the symptoms of mild allergic reactions can be relieved with antihistamines such as cetirizine and loratadine.
- #11 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
The NICE quality standard on food allergy published in March this year states that service providers must ensure that healthcare professionals can recognise the signs and symptoms of food allergy and can take an allergy-focused clinical history. […] It further advises that nurses with training and skills in allergy recognise the signs and symptoms of food allergy and take an allergy-focused clinical history as a key step towards diagnosis. […] As with all allergies, the mainstay of peanut allergy management is allergen avoidance, in this case peanuts and anything containing peanuts or peanut products such as unrefined peanut (arachis) oil. […] When avoidance fails, which is common, the symptoms of mild allergic reactions can be relieved with antihistamines such as cetirizine and loratadine.
- #12 Peanut Allergy | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/allergic-conditions/food/peanut/
An allergy to peanuts is among the most common food allergies found in children in the United States. […] If you suspect a peanut allergy, see an allergist for diagnosis and treatment. […] The most severe allergic reaction to peanuts is anaphylaxis â a life-threatening whole-body response to an allergen. Symptoms may include impaired breathing, swelling in the throat, a sudden drop in blood pressure, pale skin or blue lips, fainting and dizziness. Anaphylaxis should be treated immediately with epinephrine (adrenaline), typically administered in an auto-injector. […] Diagnosing a peanut allergy can be complicated. Symptoms can vary from person to person, and a single individual may not always experience the same symptoms during every reaction. […] Peanut is one of eight allergens with specific labeling requirements under the Food Allergen Labeling and Consumer Protection Act of 2004. Under that law, manufacturers of packaged food products that contain peanut as an ingredient that are sold in the U.S. must include the word âpeanutsâ in clear language on the ingredient label.
- #13 What to Do When You Get a Peanut Allergy – Oak Brook Allergistshttps://www.oakbrookallergists.com/2020/08/14/what-to-do-when-you-get-a-peanut-allergy-2/
Among the most common food allergies in adults and children is a peanut allergy. It is characterized by an immunological response after being exposed to peanuts. […] Peanut allergy symptoms may be mild to severe, and it is in your best interest to see a professional medical allergist for proper control of the peanut allergy. […] Ultimately, an allergist can provide excellent guidance and recommendations for what to do if you have a peanut allergy and if you suffer a sudden allergy attack from exposure to peanuts. […] When you see an allergist about your peanut allergy, the doctor will review your medical history and will ask you about what you have experienced. […] The doctor may prescribe antihistamines for mild reactions and epinephrine autoinjectors for severe reactions. […] For a severe allergic reaction to peanuts, it is recommended that you visit an emergency room, since the epinephrine shot may not be enough to prevent anaphylactic shock.
- #14 Peanut & Tree Nut Allergy | Anaphylaxis UKhttps://www.anaphylaxis.org.uk/fact-sheet/peanut-and-tree-nut-allergy/
Restaurants, cafes, hotels, takeaways and other catering businesses are required by law to provide information on major allergens, including nuts and peanuts. […] If you have a peanut or tree nut allergy, its important to have allergy testing for other nuts so you know whats safe to eat and what to avoid. […] If you have asthma and it is not well controlled, this could make an allergic reaction worse. Make sure you discuss this with your GP or allergy specialist and take any prescribed medicines. […] New treatments for peanut allergies have been studied intensively over the last decade and options are now emerging, including: oral immunotherapy there is already a licenced treatment for peanut allergy in children aged 4-17 that has been approved for use on the NHS. […] Always be guided by your allergy specialist on which foods to avoid.
- #15 Peanut Allergy Symptoms and Treatments | LifeMDhttps://lifemd.com/learn/peanut-allergy-symptoms-treatments
As one of the most common food sensitivities, peanut allergies are a significant health concern for adults and children alike. […] This is a serious food allergy that can trigger a variety of symptoms, ranging from mild to life-threatening, especially if theyre not treated correctly. […] If you have a known peanut allergy or develop these symptoms after eating peanut-containing foods, seek immediate medical attention. […] Diagnosing a peanut allergy is an essential part of managing and treating this condition effectively. […] Your healthcare provider will conduct a physical examination and medical tests to confirm your diagnosis. […] These tests must be conducted by a healthcare professional to manage the risk of a severe reaction, ensuring immediate intervention if needed. […] The most effective treatment often involves avoiding the allergen, making it crucial to implement measures to prevent exposure.
- #16 Peanut Allergy Symptoms and Treatments | LifeMDhttps://lifemd.com/learn/peanut-allergy-symptoms-treatments
As one of the most common food sensitivities, peanut allergies are a significant health concern for adults and children alike. […] This is a serious food allergy that can trigger a variety of symptoms, ranging from mild to life-threatening, especially if theyre not treated correctly. […] If you have a known peanut allergy or develop these symptoms after eating peanut-containing foods, seek immediate medical attention. […] Diagnosing a peanut allergy is an essential part of managing and treating this condition effectively. […] Your healthcare provider will conduct a physical examination and medical tests to confirm your diagnosis. […] These tests must be conducted by a healthcare professional to manage the risk of a severe reaction, ensuring immediate intervention if needed. […] The most effective treatment often involves avoiding the allergen, making it crucial to implement measures to prevent exposure.
- #17 Food Allergy – Children’s Healthhttps://www.childrens.com/specialties-services/specialty-centers-and-programs/allergy-and-immunology/programs-and-services/food-allergy
A food challenge is a way to test your childs tolerance of specific foods. Through food challenges, we can help your child reduce unnecessary food avoidance and allow the safe reintroduction of foods. […] We understand how overwhelming it can be to have a child living with a food allergy and we will work to find the source and offer treatment, management and support so you and your child can live fully and without fear.
- #18 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
The NICE quality standard on food allergy published in March this year states that service providers must ensure that healthcare professionals can recognise the signs and symptoms of food allergy and can take an allergy-focused clinical history. […] It further advises that nurses with training and skills in allergy recognise the signs and symptoms of food allergy and take an allergy-focused clinical history as a key step towards diagnosis. […] As with all allergies, the mainstay of peanut allergy management is allergen avoidance, in this case peanuts and anything containing peanuts or peanut products such as unrefined peanut (arachis) oil. […] When avoidance fails, which is common, the symptoms of mild allergic reactions can be relieved with antihistamines such as cetirizine and loratadine.
- #19 School Health Care Plans for Children with Food Allergies | kidswithfoodallergies.orghttps://kidswithfoodallergies.org/living-with-food-allergies/planning-for-school/school-health-care-plans/
A school health care plan is a set of documents that outlines your childs medical condition and needs. The plan usually lists information about your childs food allergy, how it should be managed, and what to do if your child has an allergic reaction. It may also include school staff responsibilities, training, and services needed to help keep your child safe. A school health care plan often includes several forms and documents. […] An IHCP (sometimes called an IHP) is a nursing care plan that serves both administrative and clinical purposes. It will probably have an ECP for managing and treating an allergic reaction. […] An IHCP lists what the school will do to create and maintain a safe environment for your child. For example, an IHCP will detail what school staff will do to reduce the chance your child will be exposed to their allergen(s), recognize symptoms of an allergic reaction, and give the appropriate treatment.
- #20 School Health Care Plans for Children with Food Allergies | kidswithfoodallergies.orghttps://kidswithfoodallergies.org/living-with-food-allergies/planning-for-school/school-health-care-plans/
A school health care plan is a set of documents that outlines your childs medical condition and needs. The plan usually lists information about your childs food allergy, how it should be managed, and what to do if your child has an allergic reaction. It may also include school staff responsibilities, training, and services needed to help keep your child safe. A school health care plan often includes several forms and documents. […] An IHCP (sometimes called an IHP) is a nursing care plan that serves both administrative and clinical purposes. It will probably have an ECP for managing and treating an allergic reaction. […] An IHCP lists what the school will do to create and maintain a safe environment for your child. For example, an IHCP will detail what school staff will do to reduce the chance your child will be exposed to their allergen(s), recognize symptoms of an allergic reaction, and give the appropriate treatment.
- #21 School Health Care Plans for Children with Food Allergies | kidswithfoodallergies.orghttps://kidswithfoodallergies.org/living-with-food-allergies/planning-for-school/school-health-care-plans/
A school health care plan is a set of documents that outlines your childs medical condition and needs. The plan usually lists information about your childs food allergy, how it should be managed, and what to do if your child has an allergic reaction. It may also include school staff responsibilities, training, and services needed to help keep your child safe. A school health care plan often includes several forms and documents. […] An IHCP (sometimes called an IHP) is a nursing care plan that serves both administrative and clinical purposes. It will probably have an ECP for managing and treating an allergic reaction. […] An IHCP lists what the school will do to create and maintain a safe environment for your child. For example, an IHCP will detail what school staff will do to reduce the chance your child will be exposed to their allergen(s), recognize symptoms of an allergic reaction, and give the appropriate treatment.
- #22 School Health Care Plans for Children with Food Allergies | kidswithfoodallergies.orghttps://kidswithfoodallergies.org/living-with-food-allergies/planning-for-school/school-health-care-plans/
A 504 plan addresses what the school will do to create and maintain a safe school environment for your child. […] The purpose of a 504 plan is basically the same as an IHCP. But a 504 plan is legally enforceable. […] A written school health care plan helps everyone understand their role in keeping your child safe while at school. It can reduce miscommunication, as well.
- #23 School Health Care Plans for Children with Food Allergies | kidswithfoodallergies.orghttps://kidswithfoodallergies.org/living-with-food-allergies/planning-for-school/school-health-care-plans/
A 504 plan addresses what the school will do to create and maintain a safe school environment for your child. […] The purpose of a 504 plan is basically the same as an IHCP. But a 504 plan is legally enforceable. […] A written school health care plan helps everyone understand their role in keeping your child safe while at school. It can reduce miscommunication, as well.
- #24 Peanut Allergy (for Teens) | Nemours KidsHealthhttps://kidshealth.org/en/teens/nut-allergy.html
Peanut allergies can cause a severe reaction called anaphylaxis. Anaphylaxis may begin with some of the same symptoms as a less severe reaction, but then quickly get worse, leading someone to have trouble breathing, feel lightheaded, or to pass out. If it is not treated right away, anaphylaxis can be life-threatening. […] If you have a peanut allergy (or any kind of serious food allergy), the doctor will want you to carry two doses of epinephrine in case of an emergency. […] Every second counts in an allergic reaction. If you start having serious allergic symptoms, like swelling of the mouth or throat or trouble breathing, use the epinephrine right away. […] The doctor can also give you an allergy action plan, which helps you prepare for, recognize, and treat an allergic reaction. […] Keeping epinephrine on hand at all times should be just part of your action plan. It’s also a good idea to carry an over-the-counter (OTC) antihistamine as this can help treat mild allergy symptoms. But never use antihistamines as a replacement for epinephrine in serious reactions. Always use the epinephrine as the first treatment.
- #25 Peanut Allergy (for Teens) | Nemours KidsHealthhttps://kidshealth.org/en/teens/nut-allergy.html
Peanut allergies can cause a severe reaction called anaphylaxis. Anaphylaxis may begin with some of the same symptoms as a less severe reaction, but then quickly get worse, leading someone to have trouble breathing, feel lightheaded, or to pass out. If it is not treated right away, anaphylaxis can be life-threatening. […] If you have a peanut allergy (or any kind of serious food allergy), the doctor will want you to carry two doses of epinephrine in case of an emergency. […] Every second counts in an allergic reaction. If you start having serious allergic symptoms, like swelling of the mouth or throat or trouble breathing, use the epinephrine right away. […] The doctor can also give you an allergy action plan, which helps you prepare for, recognize, and treat an allergic reaction. […] Keeping epinephrine on hand at all times should be just part of your action plan. It’s also a good idea to carry an over-the-counter (OTC) antihistamine as this can help treat mild allergy symptoms. But never use antihistamines as a replacement for epinephrine in serious reactions. Always use the epinephrine as the first treatment.
- #26 Nut allergies | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/nut-allergies
If you, or someone in your care, have a severe allergic reaction (anaphylaxis), call triple zero (000) for an ambulance. Do not stand or walk. Administer an adrenaline injector (such as EpiPen or Anapen), into the outer mid-thigh. Further adrenaline may be given if there is no response after 5 minutes. […] If you are at risk of a severe allergic reaction (anaphylaxis), carry an adrenaline injector such as EpiPen or Anapen and a mobile telephone. Emergency responses for a severe allergic reaction are: Lay the person flat do not allow them to stand or walk. Administer adrenaline with an injector (such as an EpiPen or Anapen) into the outer mid-thigh. […] If you are at risk of a severe allergic reaction, make sure you: Have an ASCIA Action Plan for Anaphylaxis. […] Carry an adrenaline injector (such as EpiPen or Anapen) to treat a severe allergic reaction. […] Always speak to your doctor about your food allergy diagnosis and treatment options.
- #27 Peanut and tree nut allergyhttps://www.rch.org.au/kidsinfo/fact_sheets/Peanut_and_tree_nut_allergy/
Call an ambulance immediately if your child has symptoms of anaphylaxis. […] Once your child has a confirmed nut allergy, your doctor will prepare an allergy action plan for your child. The action plan will be green if no adrenaline autoinjector is required, and red if an adrenaline autoinjector is prescribed. Make sure you understand the action plan well and ask if there is anything you’re not confident about. […] It is important to teach your child not to share or swap food with others, and to always wash their hands before eating. […] Organise a meeting with staff caring for your child at their school, kindergarten or childcare centre. Staff will work with you to develop a management plan for your child, detailing the risks and how they will manage these on a day-to-day basis. […] Your child should take their own nut-free food with them to school. They should know never to swap food with other children. […] Always check labels of foods for traces of any peanuts or nuts. […] Teach your child not to share or swap food with others, and to always wash their hands before eating.
- #28https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=acc9565
When a person with a peanut allergy eats peanuts, their body reacts as if the peanuts are trying to cause harm. A severe reaction may cause hives all over, swelling in the throat, trouble breathing, nausea or vomiting, or fainting. This is called anaphylaxis (say „ANN-uh-fuh-LAK-suss”). An anaphylactic reaction can be life-threatening and is a medical emergency. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] During a severe reaction, give yourself an epinephrine shot. Keep it with you at all times. Make sure it has not expired. Call for emergency help. A severe allergic reaction can be life-threatening and is a medical emergency.
- #29 Peanut Allergy: Symptoms, Reaction, Tests & Treatmenthttps://my.clevelandclinic.org/health/diseases/21511-peanut-allergy
Peanut allergies happen when your immune system tries to protect you from a protein in peanuts that it mistakenly thinks is harmful. […] Call 911 (or your local emergency service number) or get to an emergency room immediately if you have face, mouth or throat swelling, difficulty breathing or swallowing, or feel faint. […] Symptoms of peanut allergies can be severe, even if you’ve only had a mild reaction in the past. Call 911 or go to the ER at the first sign of severe symptoms. […] The best way to manage peanut allergies is to avoid peanuts and food containing peanuts. […] You should also keep emergency medications, like epinephrine, on hand in case you accidentally eat something containing peanuts. […] If you’re accidentally exposed to peanuts and have an allergic reaction, your provider might give you or recommend you take or carry: An epinephrine auto-injector (EpiPen or Auvi-Q) to use at the first signs of a severe allergic reaction.
- #30 Peanut Allergy in Children: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.peanut-allergy-in-children-care-instructions.acc9730
When a person with a peanut allergy eats peanuts, their body reacts as if the peanuts are trying to cause harm. […] A good way to prevent an allergic reaction is to avoid the foods that cause it. […] Follow-up care is a key part of your child’s treatment and safety. […] Give your child a nondrowsy antihistamine, such as loratadine (Claritin), as your doctor recommends. […] Give your child an epinephrine shot. […] Call for emergency help. A severe allergic reaction can be life-threatening and is a medical emergency. […] Avoid the foods that cause problems. […] Teach your child’s teachers and caregivers what to do if your child has a severe reaction to food that your child is allergic to. […] Have your child wear medical alert jewelry that lists all allergies. […] Give an epinephrine shot if you think your child is having a severe allergic reaction.
- #31 Peanut Allergy in Children: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.peanut-allergy-in-children-care-instructions.acc9730
When a person with a peanut allergy eats peanuts, their body reacts as if the peanuts are trying to cause harm. […] A good way to prevent an allergic reaction is to avoid the foods that cause it. […] Follow-up care is a key part of your child’s treatment and safety. […] Give your child a nondrowsy antihistamine, such as loratadine (Claritin), as your doctor recommends. […] Give your child an epinephrine shot. […] Call for emergency help. A severe allergic reaction can be life-threatening and is a medical emergency. […] Avoid the foods that cause problems. […] Teach your child’s teachers and caregivers what to do if your child has a severe reaction to food that your child is allergic to. […] Have your child wear medical alert jewelry that lists all allergies. […] Give an epinephrine shot if you think your child is having a severe allergic reaction.
- #32 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
The NICE quality standard on food allergy published in March this year states that service providers must ensure that healthcare professionals can recognise the signs and symptoms of food allergy and can take an allergy-focused clinical history. […] It further advises that nurses with training and skills in allergy recognise the signs and symptoms of food allergy and take an allergy-focused clinical history as a key step towards diagnosis. […] As with all allergies, the mainstay of peanut allergy management is allergen avoidance, in this case peanuts and anything containing peanuts or peanut products such as unrefined peanut (arachis) oil. […] When avoidance fails, which is common, the symptoms of mild allergic reactions can be relieved with antihistamines such as cetirizine and loratadine.
- #33 Peanut and tree nut allergyhttps://www.rch.org.au/kidsinfo/fact_sheets/Peanut_and_tree_nut_allergy/
Peanut and tree nut allergies are common in Australia. The term 'tree nut’ refers to nuts such as almonds, brazil nuts, cashews, hazelnuts, macadamias, pecans, pistachios and walnuts. Peanuts and tree nuts contain proteins that can cause an allergic reaction in up to three per cent of children. […] Usually, a child who is allergic to peanuts or other nuts will only have a mild reaction. However, peanuts and tree nuts (especially cashews) are a common cause of anaphylaxis. Anaphylaxis is the most severe form of an allergic reaction, and is life threatening. […] The first time your child has a mild to moderate allergic reaction to peanuts or other nuts, take them to the GP. The doctor will confirm whether your child had an allergic reaction and advise you how to treat the reaction next time it happens. You may be referred to an allergy specialist to confirm the nut allergy and to advise on management and future monitoring.
- #34 Peanut Allergy | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/allergic-conditions/food/peanut/
An allergy to peanuts is among the most common food allergies found in children in the United States. […] If you suspect a peanut allergy, see an allergist for diagnosis and treatment. […] The most severe allergic reaction to peanuts is anaphylaxis â a life-threatening whole-body response to an allergen. Symptoms may include impaired breathing, swelling in the throat, a sudden drop in blood pressure, pale skin or blue lips, fainting and dizziness. Anaphylaxis should be treated immediately with epinephrine (adrenaline), typically administered in an auto-injector. […] Diagnosing a peanut allergy can be complicated. Symptoms can vary from person to person, and a single individual may not always experience the same symptoms during every reaction. […] Peanut is one of eight allergens with specific labeling requirements under the Food Allergen Labeling and Consumer Protection Act of 2004. Under that law, manufacturers of packaged food products that contain peanut as an ingredient that are sold in the U.S. must include the word âpeanutsâ in clear language on the ingredient label.
- #35 Peanut Allergy: Symptoms, Reaction, Tests & Treatmenthttps://my.clevelandclinic.org/health/diseases/21511-peanut-allergy
If you think you or your child has a peanut allergy, talk to a healthcare provider (and avoid peanuts and peanut products until you do). They can refer you to a specialist and guide you on next steps. […] Go to the ER or call 911 if you experience: Swelling of your face, lips, tongue or throat, Difficulty breathing, Chest tightness, Hives all over your body.
- #36 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
To date, the recommended management of peanut allergy relies on avoidance of peanut ingestion. Unfortunately, severe reactions such as anaphylaxis may occur despite best efforts in avoidance. Epinephrine is the first-line medication for the treatment of anaphylaxis. Intramuscular (IM) or intravenous (IV) epinephrine should be administered, although the IM route is preferred, with injection placement in the lateral thigh. IV administration ideally should be done in the inpatient setting with appropriate monitoring. […] […] Although avoidance is the mainstay of treatment, new strategies are being tested to prevent food allergies. Peanut immunotherapy clinical trials have been promising to date using incremental ingestion of small amounts of peanut over time with oral immunotherapy (OIT). The goal of OIT may be either to prevent a reaction if accidental peanut ingestion occurs or to induce tolerance where the patient can regularly ingest peanuts safely. […]
- #37 Nut allergies | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/nut-allergies
If you, or someone in your care, have a severe allergic reaction (anaphylaxis), call triple zero (000) for an ambulance. Do not stand or walk. Administer an adrenaline injector (such as EpiPen or Anapen), into the outer mid-thigh. Further adrenaline may be given if there is no response after 5 minutes. […] If you are at risk of a severe allergic reaction (anaphylaxis), carry an adrenaline injector such as EpiPen or Anapen and a mobile telephone. Emergency responses for a severe allergic reaction are: Lay the person flat do not allow them to stand or walk. Administer adrenaline with an injector (such as an EpiPen or Anapen) into the outer mid-thigh. […] If you are at risk of a severe allergic reaction, make sure you: Have an ASCIA Action Plan for Anaphylaxis. […] Carry an adrenaline injector (such as EpiPen or Anapen) to treat a severe allergic reaction. […] Always speak to your doctor about your food allergy diagnosis and treatment options.
- #38 Management of Peanut Allergy: A Focus on Novel Immunotherapieshttps://www.ajmc.com/view/management-of-peanut-allergy-a-focus-on-novel-immunotherapies
Anaphylaxis is a life-threatening emergency requiring immediate intervention. […] Epinephrine is the only agent that has been shown to decrease hospitalizations and death in individuals experiencing an anaphylactic reaction. […] The correct use of epinephrine autoinjectors is a critical aspect in the management of care for patients with allergies. […] Along with ensuring the proper administration technique, proper storage of epinephrine autoinjectors is also essential. […] Second- and third-line therapies for anaphylaxis include H1-antihistamines, H2-antihistamines, and glucocorticoids. […] Following an anaphylactic reaction, patients should be referred to an allergy/immunology specialist to accurately diagnose the trigger and provide long-term management. […] Treatment for peanut allergy relies heavily on avoidance and prompt administration of epinephrine if and when anaphylaxis occurs.
- #39 Management of Peanut Allergy: A Focus on Novel Immunotherapieshttps://www.ajmc.com/view/management-of-peanut-allergy-a-focus-on-novel-immunotherapies
Anaphylaxis is a life-threatening emergency requiring immediate intervention. […] Epinephrine is the only agent that has been shown to decrease hospitalizations and death in individuals experiencing an anaphylactic reaction. […] The correct use of epinephrine autoinjectors is a critical aspect in the management of care for patients with allergies. […] Along with ensuring the proper administration technique, proper storage of epinephrine autoinjectors is also essential. […] Second- and third-line therapies for anaphylaxis include H1-antihistamines, H2-antihistamines, and glucocorticoids. […] Following an anaphylactic reaction, patients should be referred to an allergy/immunology specialist to accurately diagnose the trigger and provide long-term management. […] Treatment for peanut allergy relies heavily on avoidance and prompt administration of epinephrine if and when anaphylaxis occurs.
- #40 Management of Peanut Allergy: A Focus on Novel Immunotherapieshttps://www.ajmc.com/view/management-of-peanut-allergy-a-focus-on-novel-immunotherapies
Anaphylaxis is a life-threatening emergency requiring immediate intervention. […] Epinephrine is the only agent that has been shown to decrease hospitalizations and death in individuals experiencing an anaphylactic reaction. […] The correct use of epinephrine autoinjectors is a critical aspect in the management of care for patients with allergies. […] Along with ensuring the proper administration technique, proper storage of epinephrine autoinjectors is also essential. […] Second- and third-line therapies for anaphylaxis include H1-antihistamines, H2-antihistamines, and glucocorticoids. […] Following an anaphylactic reaction, patients should be referred to an allergy/immunology specialist to accurately diagnose the trigger and provide long-term management. […] Treatment for peanut allergy relies heavily on avoidance and prompt administration of epinephrine if and when anaphylaxis occurs.
- #41 Management of Peanut Allergy: A Focus on Novel Immunotherapieshttps://www.ajmc.com/view/management-of-peanut-allergy-a-focus-on-novel-immunotherapies
Anaphylaxis is a life-threatening emergency requiring immediate intervention. […] Epinephrine is the only agent that has been shown to decrease hospitalizations and death in individuals experiencing an anaphylactic reaction. […] The correct use of epinephrine autoinjectors is a critical aspect in the management of care for patients with allergies. […] Along with ensuring the proper administration technique, proper storage of epinephrine autoinjectors is also essential. […] Second- and third-line therapies for anaphylaxis include H1-antihistamines, H2-antihistamines, and glucocorticoids. […] Following an anaphylactic reaction, patients should be referred to an allergy/immunology specialist to accurately diagnose the trigger and provide long-term management. […] Treatment for peanut allergy relies heavily on avoidance and prompt administration of epinephrine if and when anaphylaxis occurs.
- #42 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Patients and parents should be educated on the importance of avoiding peanuts and all peanut-containing products. All caregivers and teachers should be made aware of the allergy as well. It is vital that these patients carry injectable epinephrine with them everywhere they go. […] […] Managing a peanut allergy usually involves an interprofessional team. The majority of patients are first seen by the primary care clinician. While avoidance is the primary means of preventing a food allergy reaction, strict avoidance can place a significant burden on patient quality of life and provoke anxiety in patients and family members. Besides avoiding peanuts, nurses should educate patients to be careful not to consume cross-contaminated foods how to interpret food labels to identify sources of food allergens. A self-injectable epinephrine prescription is necessary for patients with peanut allergies. They should receive education on how to recognize the signs and symptoms of food hypersensitivity and how to administer epinephrine. Today there are novel ways to decrease peanut allergy with various types of immunotherapeutic methods. The oral immunotherapy technique has been shown to have the most promise. However, until a definitive method of preventing peanut allergy is available, the key is for all clinicians to encourage allergic patients to carry injectable epinephrine and avoid peanuts.
- #43 Peanut Allergy: Symptoms, Reaction, Tests & Treatmenthttps://my.clevelandclinic.org/health/diseases/21511-peanut-allergy
Peanut allergies happen when your immune system tries to protect you from a protein in peanuts that it mistakenly thinks is harmful. […] Call 911 (or your local emergency service number) or get to an emergency room immediately if you have face, mouth or throat swelling, difficulty breathing or swallowing, or feel faint. […] Symptoms of peanut allergies can be severe, even if you’ve only had a mild reaction in the past. Call 911 or go to the ER at the first sign of severe symptoms. […] The best way to manage peanut allergies is to avoid peanuts and food containing peanuts. […] You should also keep emergency medications, like epinephrine, on hand in case you accidentally eat something containing peanuts. […] If you’re accidentally exposed to peanuts and have an allergic reaction, your provider might give you or recommend you take or carry: An epinephrine auto-injector (EpiPen or Auvi-Q) to use at the first signs of a severe allergic reaction.
- #44 Nut allergies | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/nut-allergies
If you, or someone in your care, have a severe allergic reaction, call triple zero (000) for an ambulance. The person having the reaction should not stand or walk. Administer an adrenaline (epinephrine) injector (such as EpiPen or Anapen) into the outer mid-thigh. Further doses of adrenaline may be given if there is no response after 5 minutes. Give adrenaline first, then asthma reliever puffer, if required. […] Peanuts and nuts that grow on trees are among the most common foods to cause a life-threatening severe allergic reaction (anaphylaxis). […] If you are at risk of anaphylaxis, you will be prescribed an adrenaline injector which may be lifesaving. […] The best way to manage a peanut, tree nut and seed allergy is to avoid all products containing these foods. […] Food allergies can be life threatening and peanuts, tree nuts and seeds are some of the most common food triggers for life-threatening severe allergic reactions.
- #45 Peanut Allergy (for Teens) | Nemours KidsHealthhttps://kidshealth.org/en/teens/nut-allergy.html
If allergy skin testing shows that you have a peanut allergy, an allergist will provide guidelines on what to do. […] The best way to prevent a reaction is to avoid peanuts. This means more than just not eating them. It also means not eating any foods that might contain peanuts as ingredients. […] Always be cautious. Even if you’ve eaten a food in the past, manufacturers sometimes change their processes for example, switching suppliers to a company that uses shared equipment with nuts. […] Tell everyone who handles the food you eat, from relatives to restaurant waitstaff, that you have a peanut allergy. […] Be sure your school knows about your allergy and has an action plan in place for you. […] Keep epinephrine with you always. Don’t leave it in your locker, for example keep it in a pocket, purse, or bookbag that’s always with you.
- #46 Peanut Allergy Symptoms and Treatment | Latitude Food Allergy Carehttps://latitudefoodallergycare.com/allergens/peanut-allergy
Those with a peanut allergy must carefully read all ingredient labels, as even a non-threatening vegetarian meat substitute or a bowl of chili may include peanuts. […] At Latitude Food Allergy Care, we provide oral immunotherapy (OIT) to help patients improve their quality of life. […] The goal of oral immunotherapy is to continually expose the patient to increasing amounts of an allergen. […] To determine whether a patient may be a candidate for OIT, our expert clinical team will evaluate existing conditions, collect full medical history, and discuss lifestyle. […] Recent research into peanut allergy treatment shows promising advancements for future therapies. […] In 2017, the National Institute of Allergy and Infectious Diseases (NIAID) published updated guidelines for early introduction of peanuts to infants for prevention of food allergies.
- #47 Peanut and tree nut allergyhttps://www.rch.org.au/kidsinfo/fact_sheets/Peanut_and_tree_nut_allergy/
Call an ambulance immediately if your child has symptoms of anaphylaxis. […] Once your child has a confirmed nut allergy, your doctor will prepare an allergy action plan for your child. The action plan will be green if no adrenaline autoinjector is required, and red if an adrenaline autoinjector is prescribed. Make sure you understand the action plan well and ask if there is anything you’re not confident about. […] It is important to teach your child not to share or swap food with others, and to always wash their hands before eating. […] Organise a meeting with staff caring for your child at their school, kindergarten or childcare centre. Staff will work with you to develop a management plan for your child, detailing the risks and how they will manage these on a day-to-day basis. […] Your child should take their own nut-free food with them to school. They should know never to swap food with other children. […] Always check labels of foods for traces of any peanuts or nuts. […] Teach your child not to share or swap food with others, and to always wash their hands before eating.
- #48 Peanut Allergy Symptoms and Treatment | Latitude Food Allergy Carehttps://latitudefoodallergycare.com/allergens/peanut-allergy
Those with a peanut allergy must carefully read all ingredient labels, as even a non-threatening vegetarian meat substitute or a bowl of chili may include peanuts. […] At Latitude Food Allergy Care, we provide oral immunotherapy (OIT) to help patients improve their quality of life. […] The goal of oral immunotherapy is to continually expose the patient to increasing amounts of an allergen. […] To determine whether a patient may be a candidate for OIT, our expert clinical team will evaluate existing conditions, collect full medical history, and discuss lifestyle. […] Recent research into peanut allergy treatment shows promising advancements for future therapies. […] In 2017, the National Institute of Allergy and Infectious Diseases (NIAID) published updated guidelines for early introduction of peanuts to infants for prevention of food allergies.
- #49 Peanut Allergy (for Parents) | Nemours KidsHealthhttps://kidshealth.org/en/parents/nut-peanut-allergy.html
When your child has a peanut allergy (or any kind of serious food allergy), always keep two doses of epinephrine available in case of a severe reaction. […] Every second counts in an allergic reaction. If your child starts having serious allergic symptoms, like swelling of the mouth or throat or trouble breathing, give the epinephrine right away. […] If your child has a peanut allergy, help them avoid eating peanuts. Read food labels carefully because ingredients can change, and peanuts can be found in unexpected places. […] When eating away from home, make sure your child always has two doses of epinephrine with them that haven’t expired. Also, tell the people preparing or serving your child’s food about the peanut allergy. […] Also talk to the staff at school about cross-contamination risks for foods in the cafeteria.
- #50 Peanut & Tree Nut Allergy | Anaphylaxis UKhttps://www.anaphylaxis.org.uk/fact-sheet/peanut-and-tree-nut-allergy/
Peanut and tree nut allergies are common they are the most commonly known foods to cause anaphylaxis. […] If you have mild allergic symptoms, you may be prescribed antihistamine medicine that you take by mouth. If you are at higher risk of anaphylaxis, you may be prescribed adrenaline to use in an emergency. […] Make sure you know how and when to use them. Ask your healthcare professional to show you how to use your specific brand of AAI. […] You must carry two AAIs with you at all times, as you may need to use a second one if your symptoms dont improve after five minutes or get worse. […] Once you have been diagnosed with a peanut or tree nut allergy, you will need to avoid the nut or nuts youre allergic to. […] Read the ingredient lists on food packets carefully every time you shop.
- #51 Food Allergies (Nursing) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK570550/
List the nursing management of anaphylaxis caused by peanuts. […] Administer Epinephrine if the patient has anaphylaxis. […] Educate patients on the avoidance of allergic foods. […] Teach the patient to wear an ID bracelet. […] Educate patient to carry Epipen autoinjector. […] Teach patient and caregiver to read labels before buying food. […] Patients with food allergy with asthma or a past history of severe reaction or reaction to peanuts, nuts, seeds, or seafood should be given self-injectable epinephrine and a written emergency plan for treatment of an unintentional ingestion. […] All patients with a documented food allergy should be educated by the nurse to carry a self-injectable device that contains epinephrine. […] The key is to educate the patient and caregiver. Managing food allergies requires an interprofessional team dedicated to the care of children. […] The key is to avoid the allergen; failure to do so can lead to medical malpractice if the child was to suffer a fatal anaphylactic reaction.
- #52 Peanut Allergy – Grand Ave Urgent Carehttps://grandaveurgentcare.com/patient-education/health-library?DOCHWID=tp22268spec
A peanut allergy is a reaction that occurs when your body mistakenly identifies peanuts as a harmful substance. When you eat peanuts or food that contains peanuts, your body’s immune system overreacts. This can cause a severe allergic reaction that may need immediate medical care. […] Avoiding any contact with peanuts, foods that contain peanuts, and peanut oils is the best treatment. But if you eat peanuts by accident, follow your doctor’s instructions. […] If you had a severe reaction in the past, your doctor probably prescribed a medicine called epinephrine. If you have symptoms in more than one body area, such as mild nausea and an itchy mouth, give yourself an epinephrine shot. Then call 911. […] Even if you feel better after giving yourself the shot, symptoms of anaphylaxis can recur or suddenly appear hours later. You will need to be watched in a hospital for several hours after your symptoms go away.
- #53 Peanut Allergy in Children, Babies and Teens – UChicago Medicinehttps://www.uchicagomedicine.org/comer/conditions-services/pediatric-food-allergy/pediatric-peanut-allergy
At the University of Chicago Medicine Comer Childrens Hospital, our pediatric allergists are experts in diagnosing and treating peanut allergy. We help families identify and safely manage peanut allergy in children of all ages, from babies and toddlers to adolescents and teens. […] Our pediatric allergy specialists will work with you and your family to develop a detailed plan for your childs care, including an emergency treatment plan in case your child has an allergic reaction to peanuts. […] The best prevention plan is to avoid contact with peanuts. Our team can help you and your child learn helpful tips and practices for home, school, restaurants and other places. […] An auto-injector, most commonly known as an EpiPen, delivers medication (epinephrine) to instantly treat symptoms of an allergic reaction when a child has contact with peanuts. You, your child and any other caregivers should keep the auto-injector accessible at all times in case your child accidentally comes in contact with peanuts. Our team will help you and your child learn how and when to use an auto-injector.
- #54 Food Allergies (Nursing) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK570550/
List the nursing management of anaphylaxis caused by peanuts. […] Administer Epinephrine if the patient has anaphylaxis. […] Educate patients on the avoidance of allergic foods. […] Teach the patient to wear an ID bracelet. […] Educate patient to carry Epipen autoinjector. […] Teach patient and caregiver to read labels before buying food. […] Patients with food allergy with asthma or a past history of severe reaction or reaction to peanuts, nuts, seeds, or seafood should be given self-injectable epinephrine and a written emergency plan for treatment of an unintentional ingestion. […] All patients with a documented food allergy should be educated by the nurse to carry a self-injectable device that contains epinephrine. […] The key is to educate the patient and caregiver. Managing food allergies requires an interprofessional team dedicated to the care of children. […] The key is to avoid the allergen; failure to do so can lead to medical malpractice if the child was to suffer a fatal anaphylactic reaction.
- #55 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Patients and parents should be educated on the importance of avoiding peanuts and all peanut-containing products. All caregivers and teachers should be made aware of the allergy as well. It is vital that these patients carry injectable epinephrine with them everywhere they go. […] […] Managing a peanut allergy usually involves an interprofessional team. The majority of patients are first seen by the primary care clinician. While avoidance is the primary means of preventing a food allergy reaction, strict avoidance can place a significant burden on patient quality of life and provoke anxiety in patients and family members. Besides avoiding peanuts, nurses should educate patients to be careful not to consume cross-contaminated foods how to interpret food labels to identify sources of food allergens. A self-injectable epinephrine prescription is necessary for patients with peanut allergies. They should receive education on how to recognize the signs and symptoms of food hypersensitivity and how to administer epinephrine. Today there are novel ways to decrease peanut allergy with various types of immunotherapeutic methods. The oral immunotherapy technique has been shown to have the most promise. However, until a definitive method of preventing peanut allergy is available, the key is for all clinicians to encourage allergic patients to carry injectable epinephrine and avoid peanuts.
- #56 Peanut allergyhttps://johnsonmemorial.org/jmh-health/disease-conditions/con-20376157
Peanut allergy is a condition that causes the body’s germ-fighting immune system to react to peanuts. […] Peanut allergy has been increasing in children. […] Talk to your care team if you have had any signs or symptoms of peanut allergy. Seek emergency treatment if you have a severe reaction to peanuts. […] Peanut allergy occurs when the immune system flags peanut proteins as harmful. […] Complications of peanut allergy can include anaphylaxis. Children and adults who have a severe peanut allergy are especially at risk of having this life-threatening reaction. […] The standard approach to care for peanut allergy is to avoid foods that contain peanuts. […] The only way to prevent a reaction is to avoid peanuts and peanut products altogether. […] If your child has peanut allergy, take these steps to help keep your child safe: Involve caregivers. […] If you have peanut allergy, do the following: Always carry your epinephrine autoinjector. […] If you think you have a peanut allergy, avoid contact with peanuts until you can meet with your care team. If you have a severe reaction, seek emergency help.
- #57 Peanut Allergy – Grand Ave Urgent Carehttps://grandaveurgentcare.com/patient-education/health-library?DOCHWID=tp22268spec
If you do not have epinephrine and are having a severe allergic reaction, call 911 right away. […] This is how to prevent an allergic reaction to peanuts. […] Avoid any contact with peanuts, foods that contain peanuts, and peanut oils. […] Be aware that you need to protect yourself. Read food labels or ask kitchen staff at restaurants if there are peanuts or peanut oils hidden in any of the foods you order. […] Make sure that all caregivers (such as school administrators, teachers, babysitters, and coaches), friends, and coworkers: Know what the symptoms of an allergic reaction look like. […] Wear a medical alert bracelet or medallion that lists your allergy. […] Keep your epinephrine shot with you at all times. […] If you think you are having an allergic reaction, get help. Do not minimize how serious this problem is. After you give yourself an epinephrine shot, call your doctor immediately or seek other emergency services. You will need to be observed for several hours to make sure the reaction does not recur.
- #58 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
First-line treatment of anaphylaxis is with adrenaline (epinephrine). […] Because peanut-allergic patients are at risk of anaphylaxis, they will likely be prescribed auto-injection kits even if previous reactions have been mild. […] They should carry these at all times for self-administration in the event of an anaphylactic emergency, in which case hospital attention should also be sought immediately. […] Primary care nurses have a key role in reducing this trend through education, advice and signposting, as well as in soothing the anxieties that peanut allergy can cause. […] Management of peanut allergy in school and other community settings is critical so school and community nurses will also need to: […] Set up management plans for peanut-allergic individuals. […] Know how to respond in the case of a severe peanut-allergic reaction or anaphylaxis emergency. […] Teach other school and community staff members how to help keep peanut-allergic individuals safe.
- #59 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
First-line treatment of anaphylaxis is with adrenaline (epinephrine). […] Because peanut-allergic patients are at risk of anaphylaxis, they will likely be prescribed auto-injection kits even if previous reactions have been mild. […] They should carry these at all times for self-administration in the event of an anaphylactic emergency, in which case hospital attention should also be sought immediately. […] Primary care nurses have a key role in reducing this trend through education, advice and signposting, as well as in soothing the anxieties that peanut allergy can cause. […] Management of peanut allergy in school and other community settings is critical so school and community nurses will also need to: […] Set up management plans for peanut-allergic individuals. […] Know how to respond in the case of a severe peanut-allergic reaction or anaphylaxis emergency. […] Teach other school and community staff members how to help keep peanut-allergic individuals safe.
- #60 Planning for School with Food Allergies | Allergy & Asthma Networkhttps://allergyasthmanetwork.org/food-allergies/planning-for-school-with-food-allergies/
A food allergy diagnosis can be emotional for many parents of school-age children. They are understandably worried about their child’s safety at school. There are good reasons for this concern: a variety of foods and even school supplies could potentially trigger an allergic reaction at school. […] Education, advance planning, and clear, confident communication with school staff and other parents about food allergies are the best ways to ensure your child’s safety. […] The school needs to identify the students with food allergies and obtain a written statement from the doctor to confirm the allergy (there can be confusion about whether a child has a food intolerance or true allergy). The school should coordinate with the teachers, cafeteria staff and family to be sure that medication is at school, food substitutions are available and measures to prevent exposures are in place.
- #61 Planning for School with Food Allergies | Allergy & Asthma Networkhttps://allergyasthmanetwork.org/food-allergies/planning-for-school-with-food-allergies/
Any staff member who supervises a child needs to know how to identify anaphylaxis, get help, and administer the Emergency Care Plan. Staff need to know how to reach the school nurse or designated responder, how to access and administer epinephrine to the child, and what to do following an anaphylactic reaction. […] Peanut-free policies may not be effective in preventing reactions. Schools must use proven strategies that include hand/mouth washing, no sharing of food and awareness of a child’s food restrictions. […] Simply stating that a school is peanut free does not guarantee that it is. Even with strict measures, some peanut allergen can be present. Peanut free designations can decrease vigilance in the school community. It’s important to have school staff educated on food allergy and prevention strategies that lead to a peanut-safe environment.
- #62 Peanut allergy – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/peanut-allergy/diagnosis-treatment/drc-20376181
Talking with your healthcare team about your symptoms and medical history starts the process of diagnosis. A physical exam usually follows and these next steps may be needed: […] The standard approach to care for peanut allergy is to avoid foods that contain peanuts. Yet researchers continue to study different therapies that will lessen the chance of severe reactions, including anaphylaxis. […] The only way to prevent a reaction is to avoid peanuts and peanut products altogether. However, peanuts are common. Even when you try your best, you’re likely to come into contact with peanuts at some point. […] If your child has peanut allergy, take these steps to help keep your child safe: […] If you have peanut allergy, do the following: […] If you think you have a peanut allergy, avoid contact with peanuts until you can meet with your care team. If you have a severe reaction, seek emergency help.
- #63 Reducing peanut allergy risks in children â The Nurse Practitioner presents update | Wolters Kluwerhttps://www.wolterskluwer.com/en/news/reducing-peanut-allergy-risks-in-children-the-nurse-practitioner-presents-update
Peanut allergies are a significant public health issue and are the primary reason for food-related anaphylactic reactions that result in death, the authors write. […] For children who have developed peanut allergy, a technique called oral immunotherapy (OIT) is a promising approach to allergen desensitization. […] With desensitization for known peanut allergies, clinicians may be able to reduce the incidence and other severe reactions in the future for children by making the reactions less severe, Hopper and coauthors write. […] The authors discuss the implications for evaluation and management of children receiving immunotherapy for peanut allergy, including assessment of asthma and other forms of allergic disease. […] Patients need ongoing education in recognition and emergency treatment of life-threatening allergic reactions, including the use of an epinephrine auto-injector. […] While currently utilized by clinicians in specialty settings and still experimental in nature, the potential exists for administration of OIT into other clinical sites, the article notes.
- #64 Peanut Allergy Symptoms and Treatment | Latitude Food Allergy Carehttps://latitudefoodallergycare.com/allergens/peanut-allergy
Those with a peanut allergy must carefully read all ingredient labels, as even a non-threatening vegetarian meat substitute or a bowl of chili may include peanuts. […] At Latitude Food Allergy Care, we provide oral immunotherapy (OIT) to help patients improve their quality of life. […] The goal of oral immunotherapy is to continually expose the patient to increasing amounts of an allergen. […] To determine whether a patient may be a candidate for OIT, our expert clinical team will evaluate existing conditions, collect full medical history, and discuss lifestyle. […] Recent research into peanut allergy treatment shows promising advancements for future therapies. […] In 2017, the National Institute of Allergy and Infectious Diseases (NIAID) published updated guidelines for early introduction of peanuts to infants for prevention of food allergies.
- #65 Peanut Allergy | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/allergic-conditions/food/peanut/
If your 4-17-year-old has a peanut allergy, a new treatment using peanut protein powder may offer additional protection. Palforzia is the only oral immunotherapy product currently approved by the FDA for treatment of peanut allergy. […] Itâs important to understand: The treatment is not a cure â your child will still be allergic to peanuts and must avoid them. […] In 2017, the National Institute for Allergy and Infectious Disease (NIAID) issued new updated guidelines in order to define high, moderate and low-risk infants for developing peanut allergy. […] Parents should know that most infants are either moderate- or low-risk for developing peanut allergies, and most can have peanut-containing foods introduced at home.
- #66 Peanut Allergy | Children’s Healthcare of Atlantahttps://www.choa.org/medical-services/allergy-and-immunology/peanut-allergy
Your child should also carry an epinephrine auto-injector device (e.g., EpiPen or AUVI-Q) at all times. […] While there is currently no cure for peanut allergies, researchers across the country and around the world, including Brian Vickery, MD, Director of the Food Allergy Program at Childrens, have been studying a variety of new therapies for peanut and other food allergies. […] Palforzia is an oral immunotherapy (OIT) for children ages 4 to 17 with a confirmed peanut allergy. […] The goal of these treatments is to desensitize children to accidental exposure to peanuts. They are not cures. […] OIT is not a cure for food allergies. While OIT could increase a child’s tolerance of an allergen like peanuts if an accidental exposure occurs, it will not cure the allergy. […] Children must still avoid foods containing the allergen, and an epinephrine auto-injector device (e.g., EpiPen or AUVI-Q) should be carried at all times.
- #67 Peanut Allergy | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/allergic-conditions/food/peanut/
If your 4-17-year-old has a peanut allergy, a new treatment using peanut protein powder may offer additional protection. Palforzia is the only oral immunotherapy product currently approved by the FDA for treatment of peanut allergy. […] Itâs important to understand: The treatment is not a cure â your child will still be allergic to peanuts and must avoid them. […] In 2017, the National Institute for Allergy and Infectious Disease (NIAID) issued new updated guidelines in order to define high, moderate and low-risk infants for developing peanut allergy. […] Parents should know that most infants are either moderate- or low-risk for developing peanut allergies, and most can have peanut-containing foods introduced at home.
- #68 Reducing peanut allergy risks in children â The Nurse Practitioner presents update | Wolters Kluwerhttps://www.wolterskluwer.com/en/news/reducing-peanut-allergy-risks-in-children-the-nurse-practitioner-presents-update
Peanut allergies are a significant public health issue and are the primary reason for food-related anaphylactic reactions that result in death, the authors write. […] For children who have developed peanut allergy, a technique called oral immunotherapy (OIT) is a promising approach to allergen desensitization. […] With desensitization for known peanut allergies, clinicians may be able to reduce the incidence and other severe reactions in the future for children by making the reactions less severe, Hopper and coauthors write. […] The authors discuss the implications for evaluation and management of children receiving immunotherapy for peanut allergy, including assessment of asthma and other forms of allergic disease. […] Patients need ongoing education in recognition and emergency treatment of life-threatening allergic reactions, including the use of an epinephrine auto-injector. […] While currently utilized by clinicians in specialty settings and still experimental in nature, the potential exists for administration of OIT into other clinical sites, the article notes.
- #69 Reducing peanut allergy risks in children â The Nurse Practitioner presents update | Wolters Kluwerhttps://www.wolterskluwer.com/en/news/reducing-peanut-allergy-risks-in-children-the-nurse-practitioner-presents-update
Peanut allergies are a significant public health issue and are the primary reason for food-related anaphylactic reactions that result in death, the authors write. […] For children who have developed peanut allergy, a technique called oral immunotherapy (OIT) is a promising approach to allergen desensitization. […] With desensitization for known peanut allergies, clinicians may be able to reduce the incidence and other severe reactions in the future for children by making the reactions less severe, Hopper and coauthors write. […] The authors discuss the implications for evaluation and management of children receiving immunotherapy for peanut allergy, including assessment of asthma and other forms of allergic disease. […] Patients need ongoing education in recognition and emergency treatment of life-threatening allergic reactions, including the use of an epinephrine auto-injector. […] While currently utilized by clinicians in specialty settings and still experimental in nature, the potential exists for administration of OIT into other clinical sites, the article notes.
- #70 Food allergy – National Allergy Centre of Excellencehttps://www.nace.org.au/research/food-allergy/
OIT is not a cure, but following treatment it may improve the chance of being able to eat a specific food allergen, such as peanut, milk or egg. […] Small doses of the allergen are given every day over several months, until a food allergy test is done to see whether the treatment has worked. […] Like all treatments, OIT may not be suitable for everyone. […] Children on OIT can experience some side effects. […] Stomach pain or mild to moderate allergic reactions are the most common side effects. […] A small number of children might experience an allergic reaction or anaphylaxis and need to use an adrenaline injector (e.g. EpiPen Jr or Anapen Jr). […] During OIT, its important to follow your childs ASCIA Anaphylaxis Action Plan and carry an adrenaline injector.
- #71 Peanut Allergy | Children’s Healthcare of Atlantahttps://www.choa.org/medical-services/allergy-and-immunology/peanut-allergy
Your child should also carry an epinephrine auto-injector device (e.g., EpiPen or AUVI-Q) at all times. […] While there is currently no cure for peanut allergies, researchers across the country and around the world, including Brian Vickery, MD, Director of the Food Allergy Program at Childrens, have been studying a variety of new therapies for peanut and other food allergies. […] Palforzia is an oral immunotherapy (OIT) for children ages 4 to 17 with a confirmed peanut allergy. […] The goal of these treatments is to desensitize children to accidental exposure to peanuts. They are not cures. […] OIT is not a cure for food allergies. While OIT could increase a child’s tolerance of an allergen like peanuts if an accidental exposure occurs, it will not cure the allergy. […] Children must still avoid foods containing the allergen, and an epinephrine auto-injector device (e.g., EpiPen or AUVI-Q) should be carried at all times.
- #72 Peanut Allergy | Children’s Healthcare of Atlantahttps://www.choa.org/medical-services/allergy-and-immunology/peanut-allergy
The main benefit of Palforzia is peace of mind. This treatment can help reduce the severity of allergic reactions, including anaphylaxis, that may occur when your child is accidentally exposed to peanuts. […] While this treatment could increase a child’s tolerance to peanuts if an accidental exposure occurs, it will not cure a peanut allergy. […] Children must still avoid foods containing peanuts, and an epinephrine auto-injector device (e.g., EpiPen or AUVI-Q) should be carried with them at all times. […] Anaphylaxis is a known risk of this treatment and a potential serious adverse reaction that will require using an epinephrine auto-injector device (e.g., EpiPen or AUVI-Q) and seeking immediate medical attention. […] This treatment is for children ages 4 to 17 with a confirmed peanut allergy.
- #73 Peanut allergy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/peanut-allergy/symptoms-causes/syc-20376175
Complications of peanut allergy can include anaphylaxis. Children and adults who have a severe peanut allergy are especially at risk of having this life-threatening reaction. […] Studies have shown a strong link between early peanut exposure and lower food allergy risk. In the studies, peanuts were introduced to high-risk babies and children from 4 months to 3 years old. By doing so, their food allergy risk was reduced up to 80%. Children at risk of peanut allergy include those with mild to severe eczema, egg allergy, or both. Before introducing your child to peanuts, discuss the best approach with your child’s healthcare professional.
- #74 Content – Health Encyclopedia – University of Rochester Medical Centerhttps://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=1&contentid=4711
Work with your childs healthcare provider to create a care plan in case of an emergency. […] For a life-threatening allergy, make certain that onsite school staff know how to give epinephrine to treat a severe reaction. […] Newer research suggests you may be able to help prevent a peanut allergy, mainly in young children at high risk for it. […] Introducing peanut-containing products in the first year of life (4 to 6 months) may help prevent the allergy.
- #75 Peanut allergy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/peanut-allergy/symptoms-causes/syc-20376175
Complications of peanut allergy can include anaphylaxis. Children and adults who have a severe peanut allergy are especially at risk of having this life-threatening reaction. […] Studies have shown a strong link between early peanut exposure and lower food allergy risk. In the studies, peanuts were introduced to high-risk babies and children from 4 months to 3 years old. By doing so, their food allergy risk was reduced up to 80%. Children at risk of peanut allergy include those with mild to severe eczema, egg allergy, or both. Before introducing your child to peanuts, discuss the best approach with your child’s healthcare professional.
- #76 Peanut Allergy | Causes, Symptoms & Treatment | ACAAI Public Websitehttps://acaai.org/allergies/allergic-conditions/food/peanut/
If your 4-17-year-old has a peanut allergy, a new treatment using peanut protein powder may offer additional protection. Palforzia is the only oral immunotherapy product currently approved by the FDA for treatment of peanut allergy. […] Itâs important to understand: The treatment is not a cure â your child will still be allergic to peanuts and must avoid them. […] In 2017, the National Institute for Allergy and Infectious Disease (NIAID) issued new updated guidelines in order to define high, moderate and low-risk infants for developing peanut allergy. […] Parents should know that most infants are either moderate- or low-risk for developing peanut allergies, and most can have peanut-containing foods introduced at home.
- #77 Reducing peanut allergy risks in children â The Nurse Practitioner presents update | Wolters Kluwerhttps://www.wolterskluwer.com/en/news/reducing-peanut-allergy-risks-in-children-the-nurse-practitioner-presents-update
New prevention and treatment approaches can reduce serious health risks due to peanut allergy in children, according to an article in the March issue of The Nurse Practitioner, published by Wolters Kluwer. […] Early introduction of peanuts into the diet can prevent the development of peanut allergy in high-risk infants, according to the article by Jaime Hopper, MSN, FNP-C, and Courtney Hopp, MSN, FNP-C, of Indiana University Health Methodist Center, Indianapolis; and Jessica Durbin, DNP-FNP-BC, of Indiana State University, Terre Haute. […] The authors also discuss the emerging role of oral immunotherapy and other desensitization approaches to reduce serious reactions in peanut-allergic children. […] With the rising prevalence of peanut and other food allergies, nurse practitioners and other providers must be prepared to care for children with peanut allergy.
- #78 Peanut Allergy – La Leche League Internationalhttps://llli.org/news/peanut-allergy-2/
Peanut allergy is a complex medical issue involving many factors such as family history, genetics, ethnicity, environmental influences, babyâs health and development. […] Leaders can share general information with parents who may be concerned about peanut allergy and encourage them to discuss any concerns with their babyâs health care provider. […] Peanut allergy affects 1.4% to 5% of people depending on their global location. […] Peanut is one of the allergens that can cause more severe reactions and a higher risk of an anaphylactic reaction causing throat swelling and breathing difficulty. […] In the past, dietary avoidance of peanut during pregnancy was thought to be the best way to avoid peanut allergy. However, this has not been shown to decrease peanut allergy. […] Restricting peanut while breastfeeding is not recommended as it does not prevent peanut allergy.
- #79https://www.nursingcenter.com/journalarticle?Article_ID=4078516&Journal_ID=54030&Issue_ID=4078479
Recent findings from the Learning Early About Peanut Allergy (LEAP) study (see In the News, June 2016) and others have prompted experts to recommend the following schedule and individualized assessment of infants’ readiness for safe introduction of peanuts into the diet to prevent allergy: […] Togias added that nurses can be instrumental in implementing the new peanut allergy prevention guidelines by educating parents on when and how to introduce peanuts and, in cases where infants have exhibited allergies to foods, evaluating the severity of eczema or other reactions. […] When peanut-containing foods are first introduced, infants should be watched for allergic reactions such as lip swelling, hives, or vomiting.
- #80 Food Allergies (Nursing) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK570550/
List the nursing management of anaphylaxis caused by peanuts. […] Administer Epinephrine if the patient has anaphylaxis. […] Educate patients on the avoidance of allergic foods. […] Teach the patient to wear an ID bracelet. […] Educate patient to carry Epipen autoinjector. […] Teach patient and caregiver to read labels before buying food. […] Patients with food allergy with asthma or a past history of severe reaction or reaction to peanuts, nuts, seeds, or seafood should be given self-injectable epinephrine and a written emergency plan for treatment of an unintentional ingestion. […] All patients with a documented food allergy should be educated by the nurse to carry a self-injectable device that contains epinephrine. […] The key is to educate the patient and caregiver. Managing food allergies requires an interprofessional team dedicated to the care of children. […] The key is to avoid the allergen; failure to do so can lead to medical malpractice if the child was to suffer a fatal anaphylactic reaction.
- #81 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Patients and parents should be educated on the importance of avoiding peanuts and all peanut-containing products. All caregivers and teachers should be made aware of the allergy as well. It is vital that these patients carry injectable epinephrine with them everywhere they go. […] […] Managing a peanut allergy usually involves an interprofessional team. The majority of patients are first seen by the primary care clinician. While avoidance is the primary means of preventing a food allergy reaction, strict avoidance can place a significant burden on patient quality of life and provoke anxiety in patients and family members. Besides avoiding peanuts, nurses should educate patients to be careful not to consume cross-contaminated foods how to interpret food labels to identify sources of food allergens. A self-injectable epinephrine prescription is necessary for patients with peanut allergies. They should receive education on how to recognize the signs and symptoms of food hypersensitivity and how to administer epinephrine. Today there are novel ways to decrease peanut allergy with various types of immunotherapeutic methods. The oral immunotherapy technique has been shown to have the most promise. However, until a definitive method of preventing peanut allergy is available, the key is for all clinicians to encourage allergic patients to carry injectable epinephrine and avoid peanuts.
- #82 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
First-line treatment of anaphylaxis is with adrenaline (epinephrine). […] Because peanut-allergic patients are at risk of anaphylaxis, they will likely be prescribed auto-injection kits even if previous reactions have been mild. […] They should carry these at all times for self-administration in the event of an anaphylactic emergency, in which case hospital attention should also be sought immediately. […] Primary care nurses have a key role in reducing this trend through education, advice and signposting, as well as in soothing the anxieties that peanut allergy can cause. […] Management of peanut allergy in school and other community settings is critical so school and community nurses will also need to: […] Set up management plans for peanut-allergic individuals. […] Know how to respond in the case of a severe peanut-allergic reaction or anaphylaxis emergency. […] Teach other school and community staff members how to help keep peanut-allergic individuals safe.
- #83 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Patients and parents should be educated on the importance of avoiding peanuts and all peanut-containing products. All caregivers and teachers should be made aware of the allergy as well. It is vital that these patients carry injectable epinephrine with them everywhere they go. […] […] Managing a peanut allergy usually involves an interprofessional team. The majority of patients are first seen by the primary care clinician. While avoidance is the primary means of preventing a food allergy reaction, strict avoidance can place a significant burden on patient quality of life and provoke anxiety in patients and family members. Besides avoiding peanuts, nurses should educate patients to be careful not to consume cross-contaminated foods how to interpret food labels to identify sources of food allergens. A self-injectable epinephrine prescription is necessary for patients with peanut allergies. They should receive education on how to recognize the signs and symptoms of food hypersensitivity and how to administer epinephrine. Today there are novel ways to decrease peanut allergy with various types of immunotherapeutic methods. The oral immunotherapy technique has been shown to have the most promise. However, until a definitive method of preventing peanut allergy is available, the key is for all clinicians to encourage allergic patients to carry injectable epinephrine and avoid peanuts.
- #84 Food Allergy – Children’s Healthhttps://www.childrens.com/specialties-services/specialty-centers-and-programs/allergy-and-immunology/programs-and-services/food-allergy
We offer comprehensive testing, diagnosis and management for food allergies, including specialized care for children with multiple food allergies and peanut allergies, the most common childhood food allergy. […] Should your child need auto-injectable epinephrine, medications or other treatments for food allergies, we can give you the resources you need to feel comfortable managing your childs allergy. […] Dietary therapy is focused on eliminating the triggers of your childs food allergy symptoms. Our pediatric nutrition counselors are registered dietitians who provide personalized plans and support to help identify foods to avoid without compromising your childs overall nutrition. […] Through food challenges, we can help your child reduce unnecessary food avoidance allowing the safe reintroduction of foods.
- #85 Peanut Allergy in Children, Babies and Teens – UChicago Medicinehttps://www.uchicagomedicine.org/comer/conditions-services/pediatric-food-allergy/pediatric-peanut-allergy
At the University of Chicago Medicine Comer Childrens Hospital, our pediatric allergists are experts in diagnosing and treating peanut allergy. We help families identify and safely manage peanut allergy in children of all ages, from babies and toddlers to adolescents and teens. […] Our pediatric allergy specialists will work with you and your family to develop a detailed plan for your childs care, including an emergency treatment plan in case your child has an allergic reaction to peanuts. […] The best prevention plan is to avoid contact with peanuts. Our team can help you and your child learn helpful tips and practices for home, school, restaurants and other places. […] An auto-injector, most commonly known as an EpiPen, delivers medication (epinephrine) to instantly treat symptoms of an allergic reaction when a child has contact with peanuts. You, your child and any other caregivers should keep the auto-injector accessible at all times in case your child accidentally comes in contact with peanuts. Our team will help you and your child learn how and when to use an auto-injector.
- #86 Food Allergy – Children’s Healthhttps://www.childrens.com/specialties-services/specialty-centers-and-programs/allergy-and-immunology/programs-and-services/food-allergy
We offer comprehensive testing, diagnosis and management for food allergies, including specialized care for children with multiple food allergies and peanut allergies, the most common childhood food allergy. […] Should your child need auto-injectable epinephrine, medications or other treatments for food allergies, we can give you the resources you need to feel comfortable managing your childs allergy. […] Dietary therapy is focused on eliminating the triggers of your childs food allergy symptoms. Our pediatric nutrition counselors are registered dietitians who provide personalized plans and support to help identify foods to avoid without compromising your childs overall nutrition. […] Through food challenges, we can help your child reduce unnecessary food avoidance allowing the safe reintroduction of foods.
- #87 Management of Peanut Allergy: A Focus on Novel Immunotherapieshttps://www.ajmc.com/view/management-of-peanut-allergy-a-focus-on-novel-immunotherapies
Anaphylaxis is a life-threatening emergency requiring immediate intervention. […] Epinephrine is the only agent that has been shown to decrease hospitalizations and death in individuals experiencing an anaphylactic reaction. […] The correct use of epinephrine autoinjectors is a critical aspect in the management of care for patients with allergies. […] Along with ensuring the proper administration technique, proper storage of epinephrine autoinjectors is also essential. […] Second- and third-line therapies for anaphylaxis include H1-antihistamines, H2-antihistamines, and glucocorticoids. […] Following an anaphylactic reaction, patients should be referred to an allergy/immunology specialist to accurately diagnose the trigger and provide long-term management. […] Treatment for peanut allergy relies heavily on avoidance and prompt administration of epinephrine if and when anaphylaxis occurs.
- #88 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Patients and parents should be educated on the importance of avoiding peanuts and all peanut-containing products. All caregivers and teachers should be made aware of the allergy as well. It is vital that these patients carry injectable epinephrine with them everywhere they go. […] […] Managing a peanut allergy usually involves an interprofessional team. The majority of patients are first seen by the primary care clinician. While avoidance is the primary means of preventing a food allergy reaction, strict avoidance can place a significant burden on patient quality of life and provoke anxiety in patients and family members. Besides avoiding peanuts, nurses should educate patients to be careful not to consume cross-contaminated foods how to interpret food labels to identify sources of food allergens. A self-injectable epinephrine prescription is necessary for patients with peanut allergies. They should receive education on how to recognize the signs and symptoms of food hypersensitivity and how to administer epinephrine. Today there are novel ways to decrease peanut allergy with various types of immunotherapeutic methods. The oral immunotherapy technique has been shown to have the most promise. However, until a definitive method of preventing peanut allergy is available, the key is for all clinicians to encourage allergic patients to carry injectable epinephrine and avoid peanuts.
- #89 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
A primary care nurses quick guide to Peanut allergy and anaphylaxis. […] Allergy to peanuts is the most common food allergy, and can cause potentially fatal anaphylactic reactions. […] Primary care nurses should be able to spot signs and symptoms and take key steps towards diagnosis. […] Management is based on allergen avoidance and emergency response; nurses can play a key role in advice and education. […] Most NHS allergy care takes place in primary care, therefore the identification, diagnosis and management of peanut allergy is particularly relevant for primary care nurses. […] Anaphylaxis is more of a secondary care concern; but recognising its signs and symptoms is paramount for all, and primary care practitioners can educate patients and carers to do so and to seek prompt help.
- #90 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
The NICE quality standard on food allergy published in March this year states that service providers must ensure that healthcare professionals can recognise the signs and symptoms of food allergy and can take an allergy-focused clinical history. […] It further advises that nurses with training and skills in allergy recognise the signs and symptoms of food allergy and take an allergy-focused clinical history as a key step towards diagnosis. […] As with all allergies, the mainstay of peanut allergy management is allergen avoidance, in this case peanuts and anything containing peanuts or peanut products such as unrefined peanut (arachis) oil. […] When avoidance fails, which is common, the symptoms of mild allergic reactions can be relieved with antihistamines such as cetirizine and loratadine.
- #91 Food Allergies (Nursing) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK570550/
List the nursing management of anaphylaxis caused by peanuts. […] Administer Epinephrine if the patient has anaphylaxis. […] Educate patients on the avoidance of allergic foods. […] Teach the patient to wear an ID bracelet. […] Educate patient to carry Epipen autoinjector. […] Teach patient and caregiver to read labels before buying food. […] Patients with food allergy with asthma or a past history of severe reaction or reaction to peanuts, nuts, seeds, or seafood should be given self-injectable epinephrine and a written emergency plan for treatment of an unintentional ingestion. […] All patients with a documented food allergy should be educated by the nurse to carry a self-injectable device that contains epinephrine. […] The key is to educate the patient and caregiver. Managing food allergies requires an interprofessional team dedicated to the care of children. […] The key is to avoid the allergen; failure to do so can lead to medical malpractice if the child was to suffer a fatal anaphylactic reaction.
- #92 Food Allergies (Nursing) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK570550/
List the nursing management of anaphylaxis caused by peanuts. […] Administer Epinephrine if the patient has anaphylaxis. […] Educate patients on the avoidance of allergic foods. […] Teach the patient to wear an ID bracelet. […] Educate patient to carry Epipen autoinjector. […] Teach patient and caregiver to read labels before buying food. […] Patients with food allergy with asthma or a past history of severe reaction or reaction to peanuts, nuts, seeds, or seafood should be given self-injectable epinephrine and a written emergency plan for treatment of an unintentional ingestion. […] All patients with a documented food allergy should be educated by the nurse to carry a self-injectable device that contains epinephrine. […] The key is to educate the patient and caregiver. Managing food allergies requires an interprofessional team dedicated to the care of children. […] The key is to avoid the allergen; failure to do so can lead to medical malpractice if the child was to suffer a fatal anaphylactic reaction.
- #93 Peanut Allergy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK538526/
Patients and parents should be educated on the importance of avoiding peanuts and all peanut-containing products. All caregivers and teachers should be made aware of the allergy as well. It is vital that these patients carry injectable epinephrine with them everywhere they go. […] […] Managing a peanut allergy usually involves an interprofessional team. The majority of patients are first seen by the primary care clinician. While avoidance is the primary means of preventing a food allergy reaction, strict avoidance can place a significant burden on patient quality of life and provoke anxiety in patients and family members. Besides avoiding peanuts, nurses should educate patients to be careful not to consume cross-contaminated foods how to interpret food labels to identify sources of food allergens. A self-injectable epinephrine prescription is necessary for patients with peanut allergies. They should receive education on how to recognize the signs and symptoms of food hypersensitivity and how to administer epinephrine. Today there are novel ways to decrease peanut allergy with various types of immunotherapeutic methods. The oral immunotherapy technique has been shown to have the most promise. However, until a definitive method of preventing peanut allergy is available, the key is for all clinicians to encourage allergic patients to carry injectable epinephrine and avoid peanuts.
- #94 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
First-line treatment of anaphylaxis is with adrenaline (epinephrine). […] Because peanut-allergic patients are at risk of anaphylaxis, they will likely be prescribed auto-injection kits even if previous reactions have been mild. […] They should carry these at all times for self-administration in the event of an anaphylactic emergency, in which case hospital attention should also be sought immediately. […] Primary care nurses have a key role in reducing this trend through education, advice and signposting, as well as in soothing the anxieties that peanut allergy can cause. […] Management of peanut allergy in school and other community settings is critical so school and community nurses will also need to: […] Set up management plans for peanut-allergic individuals. […] Know how to respond in the case of a severe peanut-allergic reaction or anaphylaxis emergency. […] Teach other school and community staff members how to help keep peanut-allergic individuals safe.
- #95 Peanut allergy and anaphylaxis | Nursing in Practicehttps://www.nursinginpractice.com/clinical/peanut-allergy-and-anaphylaxis/
First-line treatment of anaphylaxis is with adrenaline (epinephrine). […] Because peanut-allergic patients are at risk of anaphylaxis, they will likely be prescribed auto-injection kits even if previous reactions have been mild. […] They should carry these at all times for self-administration in the event of an anaphylactic emergency, in which case hospital attention should also be sought immediately. […] Primary care nurses have a key role in reducing this trend through education, advice and signposting, as well as in soothing the anxieties that peanut allergy can cause. […] Management of peanut allergy in school and other community settings is critical so school and community nurses will also need to: […] Set up management plans for peanut-allergic individuals. […] Know how to respond in the case of a severe peanut-allergic reaction or anaphylaxis emergency. […] Teach other school and community staff members how to help keep peanut-allergic individuals safe.
- #96 Allergies and Anaphylaxis | Texas DSHShttps://www.dshs.texas.gov/texas-school-health/allergies-anaphylaxis
Texas Education Code, Chapter 38, Section 38.0151, requires the board of trustees of each school district and the governing body or appropriate officer of each open-enrollment charter school adopt and administer a policy for the care of students with diagnosed food allergies at risk for anaphylaxis based on the guidelines developed by the legislated Ad-Hoc committee. […] The Commissioner of the Texas Department of State Health Services (DSHS) in consultation with the legislated SB-52 Ad-Hoc Committee developed the Guidelines for the Care of Students with Food Allergies. It is for local boards of trustees of school districts and governing bodies of open-enrollment charter schools to use. […] Emergency Care Plan for Students with Food Allergies. […] The Stock Epinephrine Advisory Committee (SEAC) examines and reviews the administration of epinephrine auto-injectors to a person experiencing an anaphylactic reaction on a school campus.
- #97 Safety and adherence of early oral immunotherapy for peanut allergy in a primary care setting: a retrospective cross-sectional study | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-024-00916-5
Peanut allergy is a common food allergy with potentially life-threatening implications. Early oral immunotherapy for peanut allergy (P-EOIT) has been shown to be effective and safe in research and specialty clinic settings. Provision of P-EOIT in primary care would make it available to more patients. […] Early oral immunotherapy for peanut allergy in a primary care setting appears to be safe and our findings suggest that it does not lead to an increased burden of emergency department visits. Our population had high adherence rates, with the majority achieving maintenance dose and staying on this dose for one year. […] The current study seeks to identify if provision of P-EOIT in a primary care setting results in increased rates of peanut-related anaphylaxis requiring epinephrine injection, or increased burden of emergency department (ED) visits for allergic reaction during escalation and maintenance of immunotherapy. This study also examines patient uptake and adherence to P-EOIT.
- #98 Safety and adherence of early oral immunotherapy for peanut allergy in a primary care setting: a retrospective cross-sectional study | Allergy, Asthma & Clinical Immunology | Full Texthttps://aacijournal.biomedcentral.com/articles/10.1186/s13223-024-00916-5
Of the 69 patients consented and analyzed per-protocol, 100% reached the maintenance dose of 300 mg peanut protein per day, over a median of 29 weeks. […] The majority of patients (67, 97.1%) successfully completed phone interviews for the study. […] In summary, through review of clinic charts, telephone interviews and the provincial electronic medical record, two patients were ultimately found to have used epinephrine, both of whom went to the ED. One of these was related to peanut ingestion and occurred during the escalation phase of peanut protein OIT (1.4%). During the first year of maintenance phase, no patients had peanut ingestion-related ED visits nor required epinephrine. […] This blinded retrospective study demonstrates that provision of peanut early oral immunotherapy in a primary care setting is safe with high adherence rates. Only one patient had a peanut reaction-related ED visit with epinephrine use during escalation phase, and no patients had severe peanut reactions during maintenance phase. Completion rates of oral immunotherapy were excellent as were continuation rates of maintenance dosing for at least 1 year. Thus, early oral immunotherapy for peanut allergy in a primary care setting appears to be safe with high adherence rates and does not seem to lead to an increased burden of emergency department visits.
- #99 Food Allergy – Children’s Healthhttps://www.childrens.com/specialties-services/specialty-centers-and-programs/allergy-and-immunology/programs-and-services/food-allergy
A food challenge is a way to test your childs tolerance of specific foods. Through food challenges, we can help your child reduce unnecessary food avoidance and allow the safe reintroduction of foods. […] We understand how overwhelming it can be to have a child living with a food allergy and we will work to find the source and offer treatment, management and support so you and your child can live fully and without fear.
- #100 New treatment offers hope to child with peanut allergies | Phoenix Children’s Hospitalhttps://phoenixchildrens.org/articles-faqs/patient-stories/new-treatment-offers-hope-child-peanut-allergies
We are so excited to be able to safely and effectively offer treatment for peanut allergy at Phoenix Childrens. In well-selected patients, like Genna, peanut oral immunotherapy lessens concerns about accidental exposures, reduces severity of allergic reactions, and overall improves quality of life for peanut allergic children and their families, Dr. Bauer added.