Practice Guidelines for Peanut Allergies

Celeste Sitton, RN, BSN, CMSRN; Heide S. Temples, Phd, APRN, PPCNP-BC


J Pediatr Health Care. 2018;32(1):98-102. 

In This Article


  • The members of the primary care team are responsible for educating caregivers on the signs and symptoms of peanut allergies and instructing them to seek medical attention for symptoms.

  • The clinician gives information to families regarding the introduction of peanut products at 6 months of age based on the infant's history of eczema and reviews with parents the symptoms of an allergic reaction.

  • The clinician should also help devise and provide the patient with a personalized action plan. The patient should be given a written plan to be used as a quick reference containing information on signs, symptoms, and initial treatment of anaphylaxis that emphasizes calling 911 first and foremost (Sicherer et al., 2017).

  • If a child is allergic to peanuts, the provider should also provide patients with information on peanut-containing foods (e.g., peanuts, cashews, mixed nuts, beer nuts, peanut butter, peanut oil, peanut flour, goobers, ground nuts) and the less-obvious sources of peanut products (e.g., Asian food, Mexican food, African food, baked food, candy, meat substitutes, marinades, and sauces; (Kids with Food Allergies, 2015).