Self-administration of adrenaline (epinephrine)

Individuals at considerable risk of anaphylaxis need to carry adrenaline (epinephrine) at all times and need to be instructed in advance when and how to inject it.
In addition, the packs need to be clearly labelled with instructions on how to administer adrenaline (intramuscularly, preferably at the midpoint of the outer thigh, through light clothing if necessary) so that in the case of rapid collapse someone else is able to give it.

It is important to ensure individuals at risk and carers understand that:
• two injection devices should be carried at all times to treat symptoms until medical assistance is available; if, after the first injection, the individual does not start to feel better, the second injection should be given 5 to 15 minutes after the first,
• an ambulance should be called after every administration, even if symptoms improve,
• the individual should lie down with their legs raised (unless they have breathing difficulties, in which case they should sit up) and, if possible, should not be left alone.

Adrenaline for administration by intramuscular injection is available in ‘auto-injectors’ (e.g. Emerade®,EpiPen®, and Jext®), pre-assembled syringes fitted with a needle suitable for very rapid administration (if necessary by a bystander or a healthcare provider if it is the only preparation available); injection technique is device specific.

For doses of adrenaline for self-administration, see individual preparations under Adrenaline/Epinephrine .Also read SPC (summary of product characteristic ) in each pack of the injection.

http://tnmgc.com/discus/viewtopic.php?f=5&t=488: SEE ANAPHYLAXIS THE BASICS.

G Mohan.