UNCONTROLLED WHEN PRINTED
Introduction
  • A naturally occurring sympathomimetic agent
  • Causes peripheral vasoconstriction
  • Stimulation of cardiac conduction system causes increased contractions
  • Causes bronchodilation and dilation of blood vessels in muscles

Onset:

  • Onset 30-90 seconds, lasting up to 20 min.
Indications
Contraindications
  • There are no absolute contraindications for adrenaline in these situations.
Precautions / Notes
  • ALWAYS give EpiPen® FIRST and then asthma reliever puffer if someone with known asthma and allergy to food, insects or medication has sudden breathing difficulty (e.g. wheeze, persistent cough or hoarse voice), even if there are no skin symptoms
  • Patient’s own injector may be used
  • Do not walk patient pre/post EpiPen administration
  • Advise transport to a medical facility due to risk of bi-phasic reactions
Management
  • Position patient supine, or in recovery position if unconscious.
  • Dose: Prepare EpiPen and give - lateral mid-thigh.

Adult/Paediatric ≥ 20kg/≥5yo

  • 0.3mg repeat every 5 min as clinically indicated

Infant/Paediatric <20kg/<5yo

  • 0.15mg repeat every 5 min as clinically indicated
Special Considerations
  • Tachycardia, arrhythmias
  • Increase in blood pressure (may be marked)
  • Tremor, anxiety

References
References
Presentation
  • EpiPen® (yellow label): 0.3mg
  • EpiPen Jnr® (green label): 0.15mg
EpiPenAdult

 

EpiPenJnr

 

Colour assist:

Document Control


Directorate
Clinical Services

Responsible Manager
Head of Clinical Services

Date of Issue

Date of Expiry

St John WA © Copyright 2020. All Rights Reserved

Privacy Policy | Copyright Statement & Disclaimer