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Allergy Injection Treatment Procedures and Precautions

Allergy Injection Treatment Procedures and Precautions

Method of Administration

Allergy injections are given subcutaneously, half-way between the elbow and the shoulder along the outer aspect of the back of the upper arm, or the outside of the mid-thigh. They should not be given too shallowly in the skin, nor should they ever be given without first aspirating (drawing back on the syringe plunger after the needle is in the tissue). If blood is seen when aspirating, the needle should be withdrawn before injecting and another area should be used for the injection. If there are 2 vials (such as “LEFT” and “RIGHT”), there should be 2 injections each time shots are given unless the doctor instructs otherwise. Some injections will be given from individual numbered unit dose vials while other will be dispensed from a larger multi-dose vial according to instructions specific for an individual patient.

A disposable 1 cc allergy treatment syringe with the ½ or 5/8 inch, 25, 26 or 27 gauge, regular bevel needle should be used to give the injections.

Important Precautions

  • The injections should never be administered unless injectable epinephrine 1:1000 is immediately available and there is a reliable person other than the patient to inject it.
  • OAAC requires that allergy injections be administered by a medically competent person in a medical facility equipped to treat (possible severe) allergic reactions. This advice encompasses all patients – even doctors, nurses, and other health professionals who are allergy patients.
  • Administration of allergy shots outside of an OAAC shot treatment room (for example your physician’s office) must be cleared by your OAAC physician (not just from your primary care physician or other health care provider); please do not proceed without it.

Injection Reactions

Allergy injection treatment is intended to decrease a patient’s sensitivities so that in time he/she will feel better. Injections should not cause allergy symptoms. Whenever problems occur, please discuss it with your OAAC doctor or staff.

A local reaction to an allergy injection consists of redness, soreness, itching, and/or swelling at the injection site. Most allergic individuals can be expected to have some local reaction at times. Some will have moderate local reactions regularly, at least until they have been on treatment for many months.

Should there be an excessive (greater than a quarter or 25 cent piece in diameter and lasting more than 24 hours) local reaction after an injection, an antihistamine (like Benadryl, Claritin, Allegra, Zyrtec or Xyzal), cold compress, and topical steroid cream may be used for symptom relief. Your OAAC physician and staff must be notified of the dose number and of the name of the specific vial before more injections are given. A dosage reduction may be indicated.

Systemic (generalized) anaphylaxis reactions to allergy injections are rare (0.015 to 0.02% of injections administered at OAAC Clinics). However, if they occur, prompt treatment with Epinephrine and not just an antihistamine like Benadryl is vitally important. It could save your life. In the event of a systemic (generalized) reaction after an allergy injection, there may or may not be marked swelling at the injection site, plus a vague feeling of apprehension and itching of the palms followed by generalized hives, flushing, sneezing, nasal congestion, increased mucus production or throat clearing, difficulty breathing, coughing, or wheezing.

PATIENTS MUST WAIT 20-30 MINUTES AFTER AN INJECTION SO THAT THEY MAY BE OBSERVED FOR SIGNS OF A GENERALIZED REACTION.

This type of reaction requires treatment with Epinephrine and not just an antihistamine like Benadryl. Prompt medical attention is always needed. If the shot was given at a location other than an OAAC treatment room your clinic physician must be notified before further allergy injections are given because dosage reduction is mandatory. Your OAAC physician is always notified by staff of systemic reactions which occur at an OAAC treatment room.

Beta blocker drugs may make systemic reactions more difficult to treat and you must notify your OAAC physician if you are taking one.

Recent News

2020 Allergy Capitals™ Report Ranks the Most Challenging Cities in the U.S. for Allergies;  Oklahoma City named 9th out of 100
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2020 Allergy Capitals™ Report Ranks the Most Challenging Cities in the U.S. for Allergies; Oklahoma City named 9th out of 100

The Asthma and Allergy Foundation of America (AAFA), the premiere patient advocacy organization representing more than 60 million Americans with asthma and allergies, just released its annual Allergy Capitals™ report for 2020. The report identifies the most challenging places to live with spring and fall allergies in the top 100 metropolitan areas in the U.S. Richmond, Virginia, takes the top spot based on higher-than average spring and fall pollen scores, higher-than-average medication usage and availability of board-certified allergists in the area. The top 10 Allergy Capitals for 2020 are:

1.Richmond, Virginia 2. Scranton, Pennsylvania 3. Springfield, Massachusetts 4. Hartford, Connecticut 5. McAllen, Texas 6. New Haven, Connecticut 7. San Antonio, Texas 8. Bridgeport, Connecticut 9. Oklahoma City, Oklahoma 10. Pittsburgh, Pennsylvania. Tulsa was named 23rd.

“For more than 50 years, the prevalence of allergic diseases has risen and it’s no coincidence that during the same time, pollen seasons have become stronger and longer due to warmer temperatures,” says Kenneth Mendez, AAFA CEO and president. “The Allergy Capitals report helps raise awareness about the impact of seasonal allergies, how people can prepare and start proper treatment. Local communities can also use the report as a tool to identify how to better meet the needs of their residents living with allergies and allergic asthma.”

Seasonal nasal allergies cause runny and congested noses, inflamed sinuses, relentless sneezing and other symptoms each spring through fall. Pollen can also trigger asthma attacks. Tree pollen season starts as early as January in some parts of the U.S. and continues through summer. In the fall, weed pollen – especially ragweed pollen – is responsible for symptoms. But relief is possible with the right treatment and by managing contact with pollen.

“You are not alone in dealing with allergies,” said Laura Chong, M.D., Oklahoma Allergy & Asthma Clinic Board-Certified Allergist. “Oklahoma City consistently remains in the top allergy and asthma capitals each year. You can take steps to limit your exposure to seasonal allergens like pollen; however, it is impossible to avoid pollen completely. It’s important to talk to your allergist about an allergy treatment plan to keep your symptoms under control.”

Treatment options can include over-the-counter or prescription allergy medicines. Allergy immunotherapy can help reduce or prevent allergy symptoms. These treatments are most effective if they are started before the allergy season begins.

See the full 100-city ranking at allergycapitals.com. The report lists overall rankings and breaks down a seasonal ranking for spring and fall.  Watching daily pollen and mold reports can help those who are pollen allergic plan their day and make sure they are taking their medications.

A board-certified allergist can diagnose allergies, and determine the specific triggers that cause them, through simple tests. The allergists at Oklahoma Allergy & Asthma Clinic evaluate and manage patients of all ages.  The main clinic is on the Oklahoma Health Center campus.  For patient convenience, satellite offices are located in Edmond, Norman, Midwest City and Yukon.

Visit the OAAC website at www.oklahomaallergy.com to view the addresses for all Oklahoma Allergy and Asthma Clinic locations.  To make an initial appointment for an allergy or asthma or to request more information, please call (405) 235-0040 or visit the website.

The post 2020 Allergy Capitals™ Report Ranks the Most Challenging Cities in the U.S. for Allergies; Oklahoma City named 9th out of 100 appeared first on Oklahoma Allergy and Asthma Clinic.

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