To insert your company logo on this slide From the Insert Menu Select “Picture” Locate your logo file Click OK To resize the logo Click anywhere inside the logo. The boxes that appear outside the logo are known as “resize handles.” Use these to resize the object. If you hold down the shift key before using the resize handles, you will maintain the proportions of the object you wish to resize. Epipen Administration Mary Anne Mignacca, RN

GOAL §Prevent Anaphylactic Shock Recognize signs of severe allergic reaction. Difficulty breathing Tongue swells Tightness in throat/chest Wheezing and/or coughing Pale / shaky Drop in blood pressure

Parts of an Epipen

WARNING -- Never put thumb, fingers, or hand over black tip. Needle comes out of black tip.

Procedure §Help Victim SIT DOWN §Hold Epipen with black tip down. Remove gray cap §Hold the leg firmly §Place black tip on the SIDE of the outer thigh at a 90 degree angle §Apply FIRM downward pressure until you hear a “CLICK”.

Procedure §VERY IMPORTANT: Continue to apply pressure after the “click” --Count slowly to 30. §Remove the needle quickly and rub the thigh to aid absorption of epinephrine §Check black tip: §-- if needle is exposed, the dose has been given §-- if not, repeat above procedure

 Note: most of the liquid (about 90%) stays in the auto-injector and cannot be reused. §Stay with victim. §Have someone call 911

§Bend the needle back against a hard surface. §Carefully put the unit (needle first) back into the carrying tube (without the gray activation cap) §Recap the carrying tube.  Send used Epipen to hospital with victim

Side Effects Of Epipen Degree of severity varies l Victim may turn ashen gray or white, extremely pale l Lips quiver l Hands shake l Body tremors l Heart beat/pulse is rapid Side effects resolve in minutes