Operational Medicine 2001
ANA-GUARD (Epinephrine Injection)

Epinephrine Injection, USP (1:1000)

Epinephrine is a powerful vasoconstrictor medication, useful in blocking the vascular and respiratory effects of severe allergic reactions. It's two primary indications for use are:

• Severe allergic reaction from any cause (insect stings, dust, chemicals, etc.)

• Severe asthmatic attacks.

Giving the injection:

1. After twisting and removing the cap, remove the syringe from the container.

2. Pull the blue plastic needle guard off the needle.

3. Point the needle toward the sky and depress the plunger, expelling air and excess epinephrine solution. Because of its' design, the plunger will automatically stop at the correct position.

4. Rotate the plunger 1/4 turn clockwise (plunger will automatically stop at the correct position).

5. If alcohol is available, wipe the skin of the injection site (preferred sites: front of the thigh, lateral shoulder, or upper-outer quadrant of the buttocks, but any muscular area can work).

6. Insert needle straight into muscle.

7. Push plunger in until it stops. You have just administered 0.3 ml of the solution.

8. Withdraw the needle and syringe from the muscle and prepare to give a second injection by rotating the plunger another 1/4 turn to the right. The plunger will automatically stop at the correct position. Some jiggling of the plunger may be necessary to make this rotation as the tolerances are fairly tight.

9. Wait 10 minutes. If the symptoms are not significantly improved, give a second injection of 0.3 ml.

The beneficial effects of the epinephrine will last about an hour. In the case of severe allergic reactions, this will give you time to administer Benadryl to further block the allergy. This hour will also give you time to transport the victim to an area of greater medical capability for further treatment.

NSN: Pending

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Operational Medicine 2001
Health Care in Military Settings

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