Procedures associated with heightened risk:
(1) desensitization
(2) immunotherapy
(3) administration of a drug with known allergic potential
(4) administration of a drug or vaccine to a patient with a history of drug allergy
(5) food served to a patient with a food allergy
(6) exposure to latex
Patient injury may include:
(1) death, typically from anaphylaxis
(2) permanent injury with disability
Steps that can reduce risk include:
(1) Obtaining and documenting the informed consent, with documentation of the education provided to the patient and family.
(2) Obtaining as much information on the patient as possible, including a careful history and physical.
(3) Identify any medications such as beta-blockers that may interfere or interact with resuscitation therapy.
(4) Maintaining complete and accurate records.
(5) Carefully adhering to applicable standards of care.
(6) Having adequate emergency equipment readily available with sufficient medical supplies.
(7) Careful monitoring during and after drug administration or immunotherapy.
(8) Providing appropriate care if an unexpected event occurs, including provision for a biphasic reaction.
