Digital EpiPen injection: Difference between revisions
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==Treatment<ref>"Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274. | ==Treatment<ref>"Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274. | ||
</ref>== | </ref>== | ||
* Observation for 2 hours after injection | *Observation for 2 hours after injection | ||
* If continued ischemia sx after 2 hrs | *If continued ischemia sx 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 12:17, 4 July 2016
Background
- Accidental digital self-injection of epinephrine from an EpiPen.
Diagnosis
- Increased cap refill
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
References
- ↑ "Six Years of Epinephrine Digital injections: Absence of Significant Local or Systemic Effects." Annals of EM. Sept. 2010. 56(3):p270-274.