Digital EpiPen injection

Revision as of 21:27, 25 March 2015 by Rossdonaldson1 (talk | contribs)

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

Source

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