Emergency Action Plan

If you suspect that a food allergen has been ingested (or insect sting), immediately determine the symptoms and treat the reaction as follows:


 Give Medications

Mouth Itching or tingling lips Benadryl
Skin Hives, swelling on face or extremities, itchy rash Benadryl
Gut Nausea, abdominal cramps, vomiting, diarrhea Benadryl
Throat Tightening of throat, hoarseness, hacking cough Epinephrine Benadryl
Lung Shortness of breath, repetitive coughing, wheezing Epinephrine Benadryl
Heart Thready  pulse, passing out, fainting, pale, blueness Epinephrine Benadryl
General Panic, sudden fatigue, chills, fear of impending doom Benadryl
If a food allergen has been ingested, but no symptoms: Benadryl
If a reaction is progressing (several of the above areas affected): Epinephrine Benadryl

Medication Doses:

Epinephrine: Epipen or Auvi-Q 0.3mg (body weight > 30kg / 66lb) / Epipen Jr or Auvi-Q 0.15mg (body weight 15-30kg / 33-66lb) injected once into upper outer thigh.

Antihistamine: Liquid Benadryl (12.5mg/5 ml)  take 5ml per 10kg/22lb of body weight

– Call 911 (or Ambulance service)

– State that you had a severe allergic reaction, and additional epinephrine doses may be needed

Food Allergy Research & Education (FARE) Emergency Care Plan can also be downloaded.