🥜 Oral Food Challenge Simulator

Pre-Challenge Risk Assessment

Baseline screening decides who is safe to challenge today.

• Required: History review (Placeholder short note)
• Checked: Baseline spirometry (Placeholder short note)
• Reviewed: IgE / SPT level (Placeholder short note)
• Yes: Consent obtained (Placeholder short note)

Screening before dosing starts

Placeholder short paragraph on pre-challenge eligibility checks.

Staged Dose Administration Under Monitoring

Doses escalate stepwise with rest intervals between each one.

• 6: Dose steps (Placeholder short note)
• ~20 min: Interval per step (Placeholder short note)
• 3 mg: Starting dose (Placeholder short note)
• 1000 mg: Top dose (Placeholder short note)

Escalation schedule under supervision

Placeholder short paragraph describing stepwise dose increases.

Real-Time Observation for Reaction Signs

Staff watch skin, breathing, and gut symptoms after each dose.

• Every step: Vitals checked (Placeholder short note)
• Continuous: Skin checks (Placeholder short note)
• Continuous: Airway checks (Placeholder short note)
• 2 hrs post: Observation window (Placeholder short note)

What monitoring looks for

Placeholder short paragraph on symptom categories tracked.

Reaction Management If It Occurs

Dosing halts and treatment starts the moment symptoms appear.

• Immediate: Stop dosing (Placeholder short note)
• On hand: Antihistamine (Placeholder short note)
• On hand: Epinephrine (Placeholder short note)
• Yes: Physician present (Placeholder short note)

Emergency response protocol

Placeholder short paragraph on graded reaction treatment steps.

Outcome Determination — Pass/Fail Challenge

Full dose tolerated confirms tolerance; reaction confirms allergy.

• No reaction: Pass criteria (Placeholder short note)
• Objective signs: Fail criteria (Placeholder short note)
• 2 hrs: Post-challenge watch (Placeholder short note)
• Yes: Result documented (Placeholder short note)

Deciding the final result

Placeholder short paragraph on how outcome is documented.