Immunotherapy Safety for the Primary Care ... - U.S. Coast Guard

a proposed uniform nomenclature system with the goal to have this system
eventually adopted by all practicing US allergists. Number 1 vial is color coded red
and called the 1:1 v/v dilution or maintenance concentrate. The subsequent dilutions
are colored and named as below. However not all practices have adopted this
standard nomenclature and therefore it is very important for you to review the,
labeling nomenclature from each office that you receive allergy immunotherapy
vaccines.
Dilution from
maintenance
Dilution designation
in volume per volume
(V/V)
Number
Color
Maintenance 1:1 1 Red
10-fold 1:10 2 Yellow
100-fold 1:100 3 Blue
1000-fold 1:1000 4 Green
10,000-fold 1:10,000 5 Silver
7. Administration Form Information:
• Patient name, date of birth and telephone number
• Prescribing physician with practice demographics
• Vaccine name and dilution from maintenance in volume per volume, bottle
letter, color and number (if used)
• Expiration date of all dilutions
• Date of injection
• Arm injection administered
• Delivered volume reported in milliliters
• Immunotherapy schedules
• Injection reactions: to be used to document local or systemic reactions
• Health screen - Verbal or written interview of patient to evaluate patient’s health
status prior to administering the allergy vaccine
• Peak expiratory flow rate (PEFR); In patients with asthma (unstable asthma in
particular), peak expiratory flow rate measurements should be obtained before
each injection. If done repeatedly over time, this permits better determination of
baseline peak expiratory flow rate and variability. PEFR variability, the difference
in peak expiratory readings taken at different times, has a diurnal pattern with the
lowest reading usually in the morning. Normal PEFR variability is