Instruct patients and/or caregivers in the appropriate use of EpiPen and EpiPen Jr. EpiPen should be injected into the middle of the outer thigh (through clothing, if necessary). Each device is a single-use injection. Advise patients to seek immediate medical care in conjunction with administration of EpiPen.
How do I use the EpiPen® autoinjector?
If you are about to use the autoinjector, pull up straight the blue safety release (EpiPen® or EpiPen Jr®) with one hand and hold the pen with the other hand. Do not flip the blue safety release off using the thumb or by pulling it sideways, or by bending and twisting it.
Do you need a second dose of epinephrine auto injector?
According to the NIAID food allergy guidelines, there are two reasons that patients should carry two doses of their epinephrine auto-injector.4,10 1. 20% of patients may need a second dose due to ongoing symptoms4,9
How do I administer an injection with an auto injector?
administering an injection. Place the orange tip against the middle of the outer thigh (upper leg) at a right angle (perpendicular) to the thigh. Swing and push the auto-injector firmly until it “clicks.” The click signals that the injection has started. Hold firmly in place for 3 seconds (count slowly 1, 2, 3).
Do you carry epi auto injectors on your ambulance?
You are dispatched to a state park for a young female experiencing an allergic reaction. your assessments reveals that her breaking is severealy labored and her blood pressure is very low. You carry epi auto injectors on your ambulance and have been trained and apporoved by your medical director to administer them.
How do you administer an auto-injector?
Hold the leg still and place the orange end against the outer mid-thigh. Hold the autoinjector at a right-angle to the outer part of the thigh. You can give the injection through clothing but avoid pockets or seams. Push down firmly until you hear or feel a click.
Is an EpiPen subcutaneous or intramuscular?
Epipen (epinephrine injection) is given as an intramuscular (in the muscle) or subcutaneous (under the skin) injection only in the middle of the outer side of the thigh (the upper leg). It can be injected through clothing if needed.Dec 3, 2021
Where is the auto-injector administered?
Inject the medicine into the fleshy outer portion of the thigh. Do not inject into a vein or the buttocks. You can give the injection through clothes or on bare skin. Hold the auto-injector in place until all the medicine is injected—usually no more than 3 seconds.Sep 30, 2019
How do you administer epinephrine IM?
IM dosing – For situations where an exact dose can be drawn up and administered, the recommended dose of epinephrine for patients of any age is 0.01 mg/kg (maximum dose of 0.5 mg) per single dose, injected IM into the mid-outer thigh (vastus lateralis muscle).Apr 14, 2021
When should an EpiPen be administered?
If you have been prescribed EpiPen®, you should carry it with you at all times... and use it immediately at the first signs and symptoms of a severe allergic reaction. In a severe allergic emergency, quick symptom recognition and immediate treatment are vital.
Where is epinephrine injected?
This medicine is injected under the skin or into the muscle of your outer thigh only. Do not inject this medicine into a vein, into the muscle of your buttocks, or into your fingers, toes, hands, or feet. To do so, may increase the chance of having serious side effects.Feb 1, 2022
How do you administer epinephrine for anaphylaxis?
Epinephrine 1:1,000 dilution, 0.2 to 0.5 mL (0.2 to 0.5 mg) in adults, or 0.01 mg per kg in children, should be injected subcutaneously or intramuscularly, usually into the upper arm. The site may be gently massaged to facilitate absorption. The dose may be repeated two or three times at 10 to 15 minutes intervals.Oct 1, 2003
How do you give an EpiPen to a child?
Jab the shot forcefully into the middle of their outer thigh at a right angle (perpendicular to their thigh). The EpiPen can be given through clothing, and you should hear a click once the injection begins. Hold the injector in your child's thigh for three seconds; count to three slowly.Feb 23, 2021
How long does a symjepi stay in place?
This signals that the injection has started. The autoinjector needs to stay in place for a minimum of 3 seconds following activation. If you use the Symjepi® prefilled syringe: Do not remove the needle cap until you are ready to use it. Slowly inject the syringe into the thigh while sitting down.
How to get rid of a syringe odor after a shot?
Push the plunger all the way down until you hear a "clicking" sound. Hold it for 2 seconds. Remove the syringe and massage the area for 10 seconds. Call your medical provider right away after injection. You may need to use more than one injection if your allergic reaction does not get better after the first shot.
Can you put your thumb over the symjepi?
Do not put your thumb, fingers, or hand over the black base (Auvi-Q®), orange (EpiPen® or EpiPen Jr®), or red (Adrenaclick®) tip of the autoinjector or over the needle of the Symjepi® prefilled syringe. This is to avoid an accidental injection.
Can you use IBM Micromedex more often?
Proper Use. Drug information provided by: IBM Micromedex. Use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. A nurse or other trained health professional will give you this medicine in a medical facility to treat hypotension ...
Is an Epipen Jr. syringe waterproof?
Keep the autoinjector or prefilled syringe in its carrier tube or case to protect from damage. However, this tube or case is not waterproof. If you accidentally drop it, check for damage or leakage. Throw away expired, unwanted, or unused EpiPen® or EpiPen Jr® in an FDA-cleared sharps container.
How to use Epipen Jr?
You may need further medical attention. Only a healthcare professional should give additional doses of epinephrine if you need more than two injections for a single anaphylactic episode. EpiPen® or EpiPen Jr® should only be injected into the middle of your outer thigh (upper leg), through clothing if necessary. Do not inject into your veins, buttocks, fingers, toes, hands or feet. Hold the leg of young children firmly in place before and during injection to prevent injuries. In case of accidental injection, please seek immediate medical treatment.
What is the dose of Epipen?
EpiPen® (epine phrine injection, USP) 0.3 mg or EpiPen Jr® (epinephrine injection, USP) 0.15 mg Auto-Injectors are for the emergency treatment of life-threatening allergic reactions (anaphylaxis) caused by allergens, exercise, or unknown triggers; and for people who are at increased risk for these reactions. EpiPen® or EpiPen Jr® are intended for immediate administration as emergency supportive therapy only. Seek immediate emergency medical help right away.
Can you get an infection from an epipen injection?
Rarely, patients who have used EpiPen® or EpiPen Jr® may develop an infection at the injection site within a few days. Some of these infections can be serious. Call your healthcare professional right away if you have any of the following at an injection site: redness that does not go away, swelling, tenderness, or the area feels warm to the touch.
ROUTES OF ADMINISTRATION
The subcutaneous is the preferred route of administration of epinephrine by vial or ampule. If given intramuscularly (as with an epinephrine auto-injector such as an Epipen), injection into the buttocks should be avoided as it has been proven nearly ineffective compared to administration to the lateral thigh ONLY.
INJECTION LOCATION
It has been shown that intramuscular (IM) injection of epinephrine into the lateral thigh (using a 1 or 1½ inch needle such as an Epipen) results in the fastest and most effective reduction of swelling in the airway.
CONTRAINDICATIONS
Although there are no contraindications stated for the use of epinephrine for anaphylaxis, epinephrine is not recommended for patients who are in labor or suffer from coronary insufficiency (angina).
ADMINISTRATION OF EPINEPHRINE BY SYRINGE
Take proper scene safety & body substance isolation precautions such as donning non-latex gloves.
AMPULES
If using a glass ampule, carefully break off the tip and hold the ampule upside down at a 45° angle.
VIALS
If using a vial, wipe the top of the bottle (the rubber) with an alcohol swab.
ADMINISTRATION OF EPINEPHRINE BY AUTO-INJECTOR
Take proper scene safety & body substance isolation precautions such as donning non-latex gloves.
What is an epinephrine auto injector?
An epinephrine auto-injector is a way to deliver medication quickly and effectively to someone who’s experiencing anaphylaxis, a severe and potentially life threatening consequence of an allergic reaction. You may also see auto-injectors referred to as adrenaline auto-injectors.
Where to give epinephrine injection?
The injection is quick and is given in the upper part of your thigh. Both you and those close to you should also be able to identify the symptoms of anaphylaxis and know how to properly administer an epinephrine auto-injector. Recognizing anaphylaxis and promptly giving an epinephrine injection can save lives.
Why is it important to have an auto-injector?
Because anaphylaxis can be life threatening, it’s very important that someone experiencing symptoms receives treatment as quickly as possible. The epinephrine present in an auto-injector works to reverse the symptoms of what could be a severe acute allergic reaction.
How to administer epinephrine to a child?
Follow the steps below to administer an epinephrine auto-injector to a child: Remove the auto-injector from its clear carrier tube. Form a fist, gripping the auto-injector in your dominant hand so the orange tip points downward. Make sure your fingers aren’t covering either end.
How long to hold epinephrine injection?
Push until it clicks. Be sure to hold the auto-injector in place for at least 3 seconds before you remove it from the child’s thigh. Carefully massage the injection area for about 10 seconds.
Can you use an epinephrine auto injector on a child?
Don’t use an epinephrine auto-injector on a child if the blue safety release is raised or if the auto-injector doesn’t slide out of its carrying case easily. instead. Follow the steps below to administer an epinephrine auto-injector to a child: Remove the auto-injector from its clear carrier tube.
Can you use an auto injector for anaphylaxis?
Anaphylaxis is a serious allergic reaction and an emergency medical situation. Using an auto-injector to administer epinephrine can reverse the symptoms of anaphylaxis and stabilize your condition until help arrives.
