Digital EpiPen injection: Difference between revisions

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==Treatment<ref>"Six Years of [[Epinephine]] Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM.  Sept. 2010.  56(3):p270-274.
==Treatment==
</ref>==
*Observation for 2 hours after injection<ref>"Six Years of [[Epinephine]] Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM.  Sept. 2010.  56(3):p270-274.
*Observation for 2 hours after injection
</ref>
*If continued ischemia symptoms after 2 hrs
*If continued ischemia symptoms after 2 hrs
**give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area  
**give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area


==Disposition==
==Disposition==

Revision as of 04:26, 12 March 2017

Background

  • Accidental digital self-injection of epinephrine from an EpiPen.

Evaluation

  • Increased cap refill

Work-Up

  • None

Treatment

  • Observation for 2 hours after injection[1]
  • If continued ischemia symptoms after 2 hrs
    • give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area

Disposition

  • Home

See Also

References

  1. "Six Years of Epinephine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.