What is the proper injection angle for auto injector?

1. What is the correct way to use an auto-injector?
2. Where should you inject the auto-injector?
3. Do you give injections bevel up or down?
4. How many times can you use an auto-injector?
5. How many times can an EpiPen be injected?
6. What happens if you inject an EpiPen without needing it?
7. Is EpiPen intramuscular?
8. How much epinephrine is in EpiPen?
9. Where do I give IM epinephrine?
10. How should the bevel be facing up?
11. Do you pierce bevel up?
12. What is the correct needle size for IM injection?
13. Should you massage after EpiPen?
14. Are epinephrine auto injectors all the same strength?
15. How do you survive anaphylactic shock without an EpiPen?

What is the correct way to use an auto-injector?

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).

Where should you inject the auto-injector?

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.

Do you give injections bevel up or down?

In terms of the technical aspect, you want the needle bevel up, which … all right, I'm going to draw you a picture. Needles are shaped like this. That's the bevel. That's what you want the needle to look like when it goes in.

How many times can you use an auto-injector?

Children at risk of anaphylaxis should have their prescribed AAI(s) at school for use in an emergency. The MHRA recommends that those prescribed AAIs should carry TWO devices at all times, as some people can require more than one dose of adrenaline and the AAI device can be used wrongly or occasionally misfire.

How many times can an EpiPen be injected?

You may repeat the injection every 5 to 10 minutes as needed. However, the dose is usually not more than 0.3 mg per injection.

What happens if you inject an EpiPen without needing it?

An accidental injection to the hands or feet can impair blood flow to these areas and can potentially cause tissue death. This however, is the worst-case scenario. Symptoms of an accidental injection are not usually so severe and may include: temporary numbness or tingling.

Is EpiPen intramuscular?

The product label of EpiPen, the only autoinjection epinephrine product approved in the US for anaphylaxis, recommends IM intramuscular injection into the anterolateral aspect of the thigh, but it also states that epinephrine, when given intramuscularly or subcutaneously, has a rapid onset of action, which supports ...

How much epinephrine is in EpiPen?

Each EpiPen Auto-Injector, 0.3 mg delivers a single dose of 0.3 mg epinephrine from epinephrine injection, USP 1:1000 (0.3 mL) in a sterile solution.

Where do I give IM epinephrine?

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).

How should the bevel be facing up?

Hold the needle with the hole (the bevel) facing up and the sharp point down. The point of the needle will go through the skin easier this way. Always enter the vein with the needle pointing toward the heart.

Do you pierce bevel up?

Position the needle bevel up (the bevel is the hole). Insert the needle into the skin at a 15 degree angle. When you break the skin, go quickly until you feel the slight resistance of piercing the vein.

What is the correct needle size for IM injection?

Intramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient (Table 6-2). The needle gauge for intramuscular injection is 22-25 gauge.

Should you massage after EpiPen?

Massage the injection area for 10 seconds. You may need further medical attention. If symptoms continue or recur, you may need to use a second EpiPen® or EpiPen Jr® Auto-Injector.

Are epinephrine auto injectors all the same strength?

An epinephrine autoinjector (eg, EpiPen) for adults is available with a single 0.3-mg (1:1,000 v/v) dose. Similarly, an EpiPen Jr., with a 0.15-mg (1:2,000 v/v) dose, is available for children who weigh less than 30 kg.

How do you survive anaphylactic shock without an EpiPen?

Q: What do you do if someone goes into anaphylactic shock without an EpiPen? A: Make sure that you've called 911. If antihistamines are on-hand, these can be administered and may provide some relief, but antihistamines are never a suitable medication for fully treating anaphylactic shock.