SAMPLE EMERGENCY PLAN:

_______________ is severely allergic to peanuts, peanut butter and peanut oil. THIS IS POTENTIALLY LIFE-THREATENING. The following is an emergency plan to be put in place should __________ show any symptoms of an allergic reaction.

If you see:

-shortness of breath
-difficulty swallowing
-swelling and redness of lips, face or throat
-hives

1.   Administer Epi-Pen into side of thigh immediately.

2.   Call 911

3.   Administer antihistamine liquid (dosage:_____________)

4.   Phone parents.  home phone:____________ cell phone:___________

5.   Stay calm and keep child as comfortable as possible.