Digital EpiPen injection: Difference between revisions

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==Treatment==
==Treatment<ref>"Six Years of Epinephrine 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 sx after 2 hrs
* Observation for 2 hours after injection
## give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area  
* If continued ischemia sx after 2 hrs
** give phentolamine mesylate 1.5mg in 1 mL of lidocaine into the ischemic area  


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


[[Category:Ortho]]
[[Category:Ortho]]
[[Category:Tox]]
[[Category:Tox]]

Revision as of 21:26, 25 March 2015

Background

Accidental digital self-injection of epinephrine from an EpiPen.

Diagnosis

Clinical

Work-Up

None

Treatment[1]

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

Disposition

Home

See Also

Epinephrine

Source

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