“EpiPen” is the name for an adrenalin auto-injector.
Injected adrenalin is the best emergency treatment of an anaphylactic reaction.
A quick effective easy way to give this emergency treatment is by using an EpiPen auto-injector.
Anaphylaxis e-training
For EpiPen traing – see this link: http://etraining.allergy.org.au/
Who needs an EpiPen?
You should be prescribed an EpiPen if:
- You have previously had a life-threatening anaphylaxis
- You have ”difficult to control” asthma and severe IgE food allergy.
- You have allergy is to nuts or peanuts with a big skin-prick-test (15 mm or more)
- You live a long way from emergency medical care
- Your child weights more than 10 kg
With weight 10-20 kg, prescribe EpiPen Junior.
With weight over 20 kg, prescribe EpiPen.
Your EpiPen needs to be kept away from extreme temperatures and direct sunlight, to protect against drug degradation.
What to do after an EpiPen shot?
After adrenaline injection, you should seek emergency care promptly.
- Call 111 in Australia and New Zealand.
- A second dose is required for anaphylaxis in up to 35% of cases. It may be repeated 5 to 20 minutes after the initial dose.
- Watch out for possible transient adverse tremor, anxiety, and palpitations associated with adrenalin injection.
Additional drugs
Other drugs that can be given are:
- Antihistamines (can be given at the first signs of a reaction)
- Brochodilators (salbutamol) for those with asthma
- Steroids (take several hours to be effective)
See this link for action plan for anaphylaxis:
http://www.allergy.org.au/images/stories/anaphylaxis/2011/action_plan_epipen_new-look_personal_2011.pdf
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