No severity, no airway/circulatory assessment, no epinephrine/response, no escalation.
The anaphylaxis model note in §4: the reaction with airway/breathing involvement, the epinephrine per protocol, the airway support, the EMS activation, and the response.
“Immunosuppressed, stable.”
No infection surveillance or precaution detail, no note of the blunted response.
Document the infection surveillance and precautions with recognition that a subtle change may be the only sign.
“IVIG given.”
No premedication, no rate/reaction monitoring, no response.
“IVIG infused per the titration protocol with premedication; interval vitals stable, no reaction; rate advanced per order.”
