Epinephrine Injection
WHAT IS EPINEPHRINE?
Epinephrine is a medicine given by injection to temporarily treat a life-threatening allergic reaction. It may also be used to treat severe asthmatic attacks, other lung problems, and other emergency conditions. Epinephrine works by relaxing the muscles in the airways and tightening the blood vessels. Epinephrine comes in many forms, including a pre-filled automatic injection device, also called a "pen."
WHY DO I NEED EPINEPHRINE?
You need epinephrine if you experience a severe asthma attack or a life-threatening allergic reaction (anaphylaxis). This injection can be life-saving. You should carry an epinephrine pen with you at all times if you are at risk for anaphylaxis.
WHEN SHOULD I USE MY EPINEPHRINE
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• Diarrhea.
These symptoms may represent a serious problem that is an emergency. Do not wait to see if the symptoms will go away. Use your epinephrine injection as you have been instructed, and get medical help right away. Call your local emergency services (911 in the U.S.). Do not drive yourself to the hospital.
HOW DO GIVE AN EPINEPRHINE INJECTION?
• Use epinephrine exactly as told by your health care provider. Do not inject it more often or in greater or smaller doses than your health care provider prescribed.
• You may give an injection under your skin or into your muscle on the outer side of your thigh. Do not inject epinephrine into your buttocks or any other part of your body.
○ In an emergency, an epinephrine injection can be given through your clothing.
○ Most automatic injection devices contain one dose of epinephrine. Some contain two doses.
○ After you inject a dose of epinephrine, some liquid may remain in the injection device. This is normal.
• If you need to give yourself a second dose of epinephrine, give the second injection in another location on your outer thigh. Do not give two injections in exactly the same location. This can lead to tissue
The Epipen auto-injector is a self administered epinephrine injection used for emergency management of anaphylactic reactions. This can be used in response to allergic reactions caused by allergens such as beestings, pollen, peanuts or, exercise, or other unknown triggers. The drug is primarily acts by narrowing blood vessels and opening the airways in patient’s experiencing severe allergic reactions reversing severe symptoms like sever hypotension, wheezing, sever skin itching and/or hives.
The nurse was correct to perform her medication rights prior to administration. This was done correctly if she verified that this was the exact patient, the right drug, the appropriate dose, the correct route, and the accurate time, appropriate documentation, and accurate response. According to the scenario above the nurse verified the order, the rights of medication, the correct patient, and documented in the medication administration record. The nurse failed to document how the individual tolerated the injection of the hydrocortisone. The nurse administered the injection in the left upper, outer quadrant of the patient’s buttocks. This describing the patients left dorsogluteal. According to ATI Nursing Education the current evidence validates a greater risk for paralysis from sciatic nerve damage with this site. Therefore, the use of the dorsogluteal site for intramuscular injections should be avoided.
• the dose to give and how often it may be repeated before referring to the resident’s doctor
Function: The use of the Epipen is to create adrenaline. Adrenaline relieves the symptoms of anaphylaxis by opening airways, constricting blood vessels to stop the drop in blood pressure, and preventing the body from releasing more allergic chemicals that are causing the symptoms. Most individuals with anaphylaxis require an epinephrine autoinjector which automatically injects the substance via needle into the thigh.
○ If you used epinephrine to treat anaphylaxis outside of the hospital, you need additional medical care. This may include more doses of epinephrine.
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It has cleared me theory and practice of peripheral intra- and periarticular injection therapy and more insight of the different drugs used for injections.
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Is this Safe?: NO. The dose should be lesser. 25-50mg for lesser interval of q2H.