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AllergyWise for GPs & Practice Nurses
Introduction
Welcome by Dr. Jo Walsh, G.P.
Learning Outcomes
Using the online course
Test your knowledge before you start
Glossary of terms
Understanding anaphylaxis
What is Anaphylaxis?
What does anaphylaxis involve?
What to look for
Skin reactions
Scenario
Differential diagnosis
Panic attacks
The link with asthma
Anaphylactic reactions
Allergy Mechanisms
IgE mediated reactions
Non-IgE anaphylactic reactions
Types of reaction
Bi-phasic reactions
Treatment of Anaphylaxis
Introduction – treatment
Who should be given an adrenaline injector?
Adrenaline versus Epinephrine
How adrenaline works
Route of administration
Resuscitation Council (UK) guidelines
Adrenaline injectors – introduction
EpiPen®
Jext®
Emerade®
Other medications used in the treatment of acute allergic reactions
Patient positioning
Correct posture in anaphylaxis
What can happen after an allergic reaction
Mast cell tryptase
Referral to an allergy specialist
Allergen exposure and avoidance
Common causes of anaphylaxis – introduction
Food allergens
Food allergens in non-food products
Non-food allergens: drugs, latex, insect venom
What is pollen food syndrome?
What is idiopathic anaphylaxis?
Food labelling laws
Food allergen avoidance – “may contain..” labelling
Long term management of anaphylaxis
RCPCH Care pathways
Asthma
Advising patients with severe allergies on travelling
Audit
Role of Primary Care
NICE Quality Standards on Food Allergy and Anaphylaxis
Who should be referred?
Who is most at risk of a severe reaction?
How immediate is immediate?
Interim management
Returning to primary care after specialist review
Impact of allergies on other health issues
Cardiovascular disease
Other medications
Lifestyle choices
Contraception
Immunisations
Optimise other allergic diseases
Rhinitis
What is the association with eczema?
Immunotherapy
Preventing allergies – research studies
Quality of life and on-going support
Questions that patients frequently ask
Advice about managing severely allergic children in early years settings and school
Anaphylaxis awareness in early years’ settings
Managing severe allergies in early years settings and school
Allergen avoidance in schools
Supporting medical needs of allergic children in schools
Emergency medication – practical issues in early years and schools
References, Acknowledgements and CPD
References
Acknowledgements
Continuing Professional Development
Course assessment
Feedback
Training resources
Professional issues
Keeping up to date
Training resources
Anaphylaxis UK Helpline and Information services
Before you start your training session
Training session for primary care staff
Resources for training primary care staff
Starting your presentation: primary care staff
Signs and symptoms
Common causes
Treatment
Adrenaline auto-injector devices & emergency kit
Allergen avoidance
What to do in an allergic reaction?
Long term management
To finish up
Training session for patients
Resources for a training session with patients
Starting your presentation to patients
Recognising signs and symptoms
Common causes
Treatment
Allergen avoidance
What to do in an acute allergic reaction?
Long term management of anaphylaxis
Practical session and finishing up
Returning to primary care after specialist review
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