Digital EpiPen injection: Difference between revisions

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==Background==
==Background==
Accidental digital self-injection of epinephrine from an EpiPen.
*Accidental digital self-injection of epinephrine from an EpiPen.


==Diagnosis==
==Diagnosis==
Clinical
*Increased cap refill


==Work-Up==
==Work-Up==
None
*None


==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.
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==Disposition==
==Disposition==
Home
*Home


==See Also==
==See Also==
[[Epinephrine]]
*[[Epinephrine]]


==Source==
==Source==

Revision as of 21:27, 25 March 2015

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.