Epinephrine for Anaphylaxis

Below you will find updated education for administration of Epinephrine for anaphylaxis in the Children's Hospital.  Due to many mistakes/misunderstandings with IV vs IM administration, this information will be posted by all orange tackleboxes and in each bedside chart/wall-a-roo.  Please see myself or Jill Thompson with any questions.

Need Epinephrine for ANAPHYLAXIS?

WHERE to find:	Any ORANGE TACKLEBOX – on the top shelf
HOW to DOSE:	Use the VIAL of concentrated 1:1,000 (1 mg/mL) epinephrine on top shelf. 0.01 mg/kg. Using 1:1,000 (1 mg/mL) solution, dose = 0.01 mL/kg) Max dose = 0.5 mg (0.5 mL). Dose also listed on Emergency Drug Sheet at each bedside.
HOW to PREPARE:	Use a 1-mL syringe and IM needle found in top shelf of orange tacklebox. Draw up epinephrine dose.
HOW to ADMINISTER:	Inject IM. (Never IV- even if patient has an IV line) Infant: 25 gauge, 5/8 inch IM needle Child: 25 gauge, 1 inch IM needle Adolescent: 21 gauge, 1 ½ inch IM needle Inject into anterolateral aspect of thigh. (vastus lateralis)
WHEN to REPEAT:	May repeat in 5 minutes if needed, for a maximum of 3 doses.