Mandatory EMT Training module for use of Intramuscular Epinephrine for Anaphylaxis
Administration of intramuscular epinephrine for anaphylaxis objectives upon completion of this lesson the student should be able to define anaphylaxis list common allergens associated with anaphylaxis identify signs and symptoms of anaphylaxis assess the severity of the allergic reaction understand the guidelines for use and administration of epinephrine in the
Treatment of anaphylaxis recall the six rights of medication administration explain how epinephrine works in reversing anaphylaxis objectives continued recall potential complications of epinephrine recall potential side-effects of epinephrine verify correct medication dose and expiration date appropriately administer the correct dose of epinephrine utilizing the epi
Safe syringe demonstrate evaluating the patient responds to epinephrine administration anaphylactic reactions an anaphylactic reaction is an extreme form of allergic reaction involving two or more organ systems that causes the release of chemical mediators which produce the following adverse effects bronchoconstriction vasodilation capillary permeability increased
Mucus production hypotension common allergens food allergies such as peanuts and seafood insect stings such as from bees and ants medications latex molds and pollens etc common signs and symptoms of anaphylaxis shortness of breath tachypnea wheezing strider swelling of the lips and tongue hypotension tachycardia assess the severity of the allergic reaction mild
Equals a localized reaction moderate you have mild wheezing severe indicates anaphylaxis which is a multi-system reaction with any or all of the following signs and symptoms altered mental status signs of shock to fuse wheezing dis nia strider swelling indications and contraindications for the administration of intramuscular epinephrine indications for moderate
To severe respiratory distress secondary to anaphylaxis contraindications none in reference to treating anaphylaxis anaphylaxis treatment assessment and treatment general medical assessment and initial medical care assessed airway breathing and circulation administer oxygen at 15 liters per non-rebreather mask or six liters per nasal cannula based on the patient’s
Degree of respiratory distress assess severity moderate to severe symptoms administer intramuscular epinephrine per south western illinois ems system guidelines approved bls services should apply cpap apply ice or cold pack to bite or injection site if appropriate intramuscular epinephrine dosing for severe allergic reaction anaphylaxis epinephrine dosing for an
Adult patients greater than 30 kilograms or 66 pounds you should inject 0.3 milligrams into the deltoid muscle of the arm epinephrine dosing for pediatrics patients less than 30 kilograms 66 pounds you should inject 0.15 milligrams into the deltoid muscle of the arm side effects of epinephrine potential side effects of intramuscular epinephrine administration
Tachycardia pale skin especially at the insertion site dizziness chest pain headache nausea and vomiting excitability and anxiousness response and duration of epinephrine responsive epinephrine on the body the response is very rapid occurring within seconds the duration of the epinephrine response is approximately 10 to 20 minutes epinephrine 1 to 1000 vials flip
The plastic cap off of the glass vial top containing the epinephrine 1 to 1000 aseptic technique of the epinephrine 1 to 1000 vial wipe the vial rubber top with an alcohol prep pad prior to touching it with the needle allow time for the alcohol to dry preparing the epi safe syringe remove the epi safe syringe from its plastic wrapper hold the bottom of the syringe
With one hand and grasp the cap on the needle with the opposite hand pull upward to remove the cap preparing the epi safe syringe with draw either 1.5 milliliters are 3 milliliters of air from the epi safe syringe withdraw air from the syringe by grasping the barrel of the syringe with one hand and pulling back on the plunger with your other hand intramuscular
Injection of epinephrine 1 to 1000 pictured below is the area of the deltoid muscle of the arm and a syringe being injected at a 90 degree angle into the deltoid muscle injection of epinephrine 1 to 1,000 into the deltoid muscle completely exposed the upper arm you will give the injection 1 to 2 inches below the acromion process in the center of the deltoid muscle
Wipe the intended injection site with an alcohol pad sweeping outward from the intended injection site in a circular motion allow the area to dry once the area is dry administer the injection injection of epinephrine 1 to 1,000 into the deltoid muscle hold the syringe with your dominant hand and place a syringe between your thumb and index finger let the barrel of
The syringe rest on your middle finger with your free hand gently press on and pull the skin taut so that it is slightly tight hold the syringe barrel tightly and use your wrist to inject the needle through the skin with a darting like motion into the muscle at a 90 degree angle injection of epinephrine one to one thousand into the deltoid muscle continued let go
Of the skin with your other hand and hold the syringe in place at a 90 degree angle pull back on the plunger slightly to make sure you did not hit a blood vessel if blood comes back in the syringe remove the needle immediately do not inject the medication dispose of both the syringe and the medicine repeat the procedure with epinephrine one to one thousand from
A new vial and a new syringe when you administer the second injection do so on the opposite arm injection of epinephrine one to one thousand into the deltoid muscle push down on the plunger to inject the medicine steadily but not forcefully as that could cause pain inject the medicine slowly to reduce the degree of pain once the medicine is injected removed the
Needle at the same angle that it went in place gauze over the injection site dispose of the needle in an approved sharps container observe the patient’s reaction to the medication this lesson is now completed please proceed to the tests on class marker thank you
Transcribed from video
EMT Training module for use of Intramuscular Epinephrine for Anaphylaxis By swilems.org
