Presentation on theme: "IM Epinephrine Administration by the EMT"— Presentation transcript:
1 IM Epinephrine Administration by the EMT The “Check and Inject” Pilot Project for the Administration of IM Epinephrine by King County EMTsKing County EMS Training2014
2 Six Rights of Drug Administration Right personRight drugRight doseRight timeRight routeRight documentation
3 What is epinephrine?A synthetic reproduction of the endogenous hormone/neurotransmitter epinephrineFunctions in “fight or flight” response of the sympathetic branch of the autonomic nervous system
4 Epinephrine Pharmacology Acts directly on alpha and beta adrenergic receptors (alpha constricts and beta dilates)VasoconstrictionBronchodilationAntagonizes histaminic effectsStimulates the liver to produce and raise blood glucose levelsIncreases heart rate, cardiac contractility and systemic vascular resistanceIncreases myocardial oxygen demand
6 Precautions to consider during epinephrine administration BE CERTAIN you are administering the correct concentration! It will be 1:1,000, or 1mg/1mL.BE CERTAIN you are administering the correct dose!May precipitate ACS in those with underlying cardiovascular disease, so be very cautious in older patients.Store epinephrine AWAY from light; keep away from extreme heat and danger of freezing.
8 Indications for the use of epinephrine by the EMT Allergic Reaction or AnaphylaxisOne or more of the following MUST be present with a suspected or known trigger:diffuse and progressive hivesrespiratory distress (or sudden onset of wheezing)hypotension
9 Absolute Contraindications Relative Contraindications There are no absolute contraindications in the emergency settingRelative ContraindicationsHypersensitivity to epiGlaucoma (narrow-angle)Cardiovascular diseaseUse during labor/childbirth
17 Drug Administration Intramuscular Injection Insert needle 90-degree angleRetract the plungerIf there is no ‘flash’, slowly and smoothly depress the syringe’s plunger to inject the medicationRemove the needle/syringe and push needle protect over needleMassage injection sitePlace syringe/needle in a sharps containerPlace an adhesive bandage over the injection siteDocument!: Medication, dose, site, time, vitals before/after, and patient response to therapy.
18 Assessment of Patient Response Document your findings upon assessment of patient condition after treatment:This includes appearance, work of breathing, lung sounds, skin signs, vital signs, and any changes in ability to speak
19 Ongoing AssessmentContinue to monitor and document the patient’s vital signs and condition for the remainder of your transportRecord the patient’s vital signs every 3-5 minutes
20 Six Rights of Drug Administration Right personRight drugRight doseRight timeRight routeRight documentation