Emergency set

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Emergency medication for self-administration in case of severe allergic reactions. The emergency kit consists of a rapidly absorbable oral antihistamine, a glucocorticosteroid and an adrenaline preparation, the patient must be trained in the use of which.

Indication
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Insecticide allergy; systemic mastocytosis; food allergy; drug allergy; anaphylactic reactions of any kind (see below shock, anaphylactic)

Implementation
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How to manage the anaphylaxis of your child (and your own):
  • Have your child's allergy examined again by an allergologist every 2-3 years and, if necessary, have a new allergy test performed (changed allergy spectrum?)
  • Regularly check your child's emergency medication for its expiry date.
  • Inform your child about his or her risk of anaphylaxis.
  • Practice the behaviour in an emergency.
  • Inform relatives, caregivers and teachers, if applicable, as well as friends and their parents about your child's risk of anaphylaxis.
  • Help your child learn how to avoid the allergens.
  • Regularly practice with your child the behaviour in an emergency and the use of the adrenaline auto-injector.

Note(s)
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Contents of an emergency kit:
  • H1-receptor blocking antihistamine: e.g. Dimetinden (Fenistil drops N1, 20 ml). Drinking from 1/3 bottle (6.6 mg = corresponds to a weight-adapted dosage for a person weighing 66 kg) to ½ bottle (10 mg = corresponds to a weight-adapted dosage for a person weighing 100 kg)
  • Glucocorticosteroid: e.g. betamethasone (Celestamine N 0.5 liquid N1, 30 ml). Drink the whole bottle (equivalent to 110 mg prednisolone).
  • Adrenaline for self-injection: epinephrine (Fastjector N1 for children, adolescents and adults over 30 kg kg of weight or Fastject Junior Autoinjector N1 for children of 15-30 kg of weight or Anapen Autoinjector N1 300 µg for children, adolescents and adults over 30 kg of weight or Anapen Autoinjector N1 Junior 150 µg for children of 15-30 kg of weight).
  • The following are available: training CD, training pens, patient brochure, durability reminder service for each autoinjector.

Literature
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  1. Fischer J et al (2008) Original packaging and expired - about emergency sets for insect venom allergy. J Dtsch Dermatol Ges 6: 729-734
  2. Info: at: www.derma.de/bochum/

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Last updated on: 29.10.2020