1. Intramuscular Injection
Epinephrine 1:1,000 in Anaphylaxis

2. 6 Rights of Medication Administration
Right person
Right drug
Right dose
Right time
Right route
Right documentation

3. Right person Should be self-explanatory
Are we dealing with a patient who is suffering from a moderate to severe allergic reaction, aka anaphylaxis?

4. Right drug Confirm you are administering Epi 1:1,000
Check for expiration date
Check for clarity
Check to ensure medication is clear of debris

5. Right dose Per NCOEMS Protocol 24 Allergic Reaction/Anaphylaxis
Adult patient < 50 years of age: 0.3 mg Epi 1:1,000 IM
Adult patient > 50 years of age, or has a history of cardiac disease, or takes beta- blockers/Digoxin, or patients who have heart rates >150: mg Epi 1:1,000 IM
Pediatric patient: mg Epi 1:1,000 IM

6. Right Time Moderate Allergic Reaction Anaphylaxis
Involving 2 + body systems, i.e. wheezing and hives
Anaphylaxis
Involving 2 + body systems + hypotension OR isolated hypotension

7. Right Route Intramuscular Injection sites: Deltoid, Lateral Thigh
Insert the needle into the skin with a smooth, steady motion at a 90-degree angle with the skin flattened
Aspirate for blood
Inject the medication
Withdraw the needle quickly and dispose of properly without recapping
Apply pressure to the site

8. Right Documentation
Monitor the patient for the desired therapeutic effects as well as any possible side effects
Document the medication, dose, route, and time on/with the patient care report (PCR)