Epinephrine Administration by the EMT

Topics Aseptic Technique Medication Administration Routes Medication Package Anatomy and Physiology Related to Medication Administration

Six Rights of Drug Administration Right person Right drug Right dose Right time Right route Right documentation

Needle Handling Precautions Minimize the tasks performed in a moving ambulance. Immediately dispose of used sharps in a sharps container. Do not recap needles.

Medication Administration and Documentation Record all information concerning the patient and medication including: Indication for drug administration Dosage and route delivered Patient response to the medication Both positive and negative

Kinds of Parenteral Drug Containers Glass ampules Single and multidose vials Nonconstituted syringes Prefilled syringes/autoinjectors Intravenous medication fluids

Ampules and Vials Vials Ampules

Information on Drug Labels Name of medication Expiration date Total dose and concentration

Obtaining Medication from a Glass Ampule

Hold the ampule upright and tap its top to dislodge any trapped solution.

Place gauze around the thin neck…

…and snap it off with your thumb.

Draw up the medication.

Obtaining Medication from a Vial

Prepare the syringe and hypodermic needle.

Confirm the vial label.

Cleanse the vial’s rubber top.

Insert the hypodermic needle into the rubber top and inject the air from the syringe into the vial.

Withdraw the appropriate volume of medication.

Intramuscular Injection Sites Deltoid Dorsal gluteal Vastus lateralis Rectus femoris

Intramuscular Injection 90º

Intramuscular Injection Sites x x x

Check the medication. © Scott Metcalfe

Adult Dosing Regimen for Epinephrine Administration Adults - 0.3mg of 1:1,000 via Intramuscular injection Using a 1cc syringe, insert the needle into the vial or ampule, draw the plunger back on the syringe until you reach 0.3cc mark on the syringe.

Pediatric Dosing Regimen for Epinephrine Administration Pediatrics - 0.01mg/kg of 1:1,000 via Intramuscular injection Using a 1cc syringe, insert the needle into the vial or ampule, draw the plunger back on the syringe until you reach the correct dosage for the weight of the patient. Weight 4 KG 6 KG 8 KG 10 KG 12 KG 15 KG 19 KG 24 KG 30 KG Epinephrine .04 mg .06 mg .08 mg .1 mg .12 mg .15 mg .19 mg .24 mg .3 mg

Draw up the medication. © Scott Metcalfe

Prepare the site. © Scott Metcalfe

Insert the needle at a 90-degree angle. © Scott Metcalfe

Remove the needle and cover the puncture site. © Scott Metcalfe

Summary Aseptic Technique Medication Administration Routes Medication Package Anatomy and Physiology related to Medication Administration