Quick Answer: Where do you inject adrenaline for anaphylaxis?

Adrenaline should be injected into the muscle of the outer mid thigh. Adrenaline is absorbed most rapidly when injected into the outer mid-thigh muscle.

How do you inject adrenaline for anaphylaxis?

Adrenaline (epinephrine) is the first line treatment for anaphylaxis. Give intramuscular injection (IMI) adrenaline into outer mid-thigh without delay using an adrenaline autoinjector if available OR adrenaline ampoule/syringe. Give oxygen (if available).

Where is adrenaline given in anaphylaxis?

The best site for an intramuscular injection of adrenaline for the treatment of an anaphylactic reaction is the anterolateral aspect of the middle third of the thigh. The needle needs to be long enough to ensure that the adrenaline is injected into muscle.

How do you inject adrenaline?

How should I use Adrenalin?

  1. Form a fist around the auto-injector with the tip pointing down. …
  2. Place the tip against the fleshy portion of the outer thigh. …
  3. Push the auto-injector firmly against the thigh to release the needle that injects the dose of epinephrine.
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When do you give adrenaline in anaphylaxis?

Adrenaline (also called epinephrine) should be given immediately to all patients with life threatening features of anaphylaxis. 2 Adrenaline prevents and relieves laryngeal oedema and circulatory collapse, provides bronchodilation and reduces the release of histamine and other mediators.

How long do you hold an adrenaline auto injector for anaphylaxis?

Hold the leg firmly in place before and during the injection. You can give the injection through clothes or on bare skin. Hold the auto-injector in place for 10 seconds. Remove the needle by pulling the Adrenaclick straight out.

How much adrenaline do you give for anaphylaxis?

Adrenaline may be used to provide rapid relief of severe hypersensitivity reaction to drugs and other allergens, and in the emergency treatment of anaphylactic shock. IM Injection: Adults: The usual dose is 500 micrograms (0.5ml of adrenaline 1/1000).

Can you survive anaphylaxis without treatment?

This is a dangerous and life-threatening situation called anaphylactic shock. Symptoms of anaphylaxis can be mild, and they may go away on their own (most anaphylactic reactions will require treatment). But it’s difficult to predict if or how quickly they will get worse.

What is the first thing to do in anaphylaxis?

Call 999 for an ambulance immediately (even if they start to feel better) – mention that you think the person has anaphylaxis. Remove any trigger if possible – for example, carefully remove any stinger stuck in the skin. Lie the person down flat – unless they’re unconscious, pregnant or having breathing difficulties.

What can I use if I don’t have an epipen?

“If you have an anaphylactic reaction, but don’t have epinephrine, you have a difficult problem. If you have them, you can try to take antihistamines. But the gold standard for anaphylaxis is injectable Epinephrin,” said Schimelpfenig.

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When do you administer adrenaline?

People with potentially serious allergies are often prescribed adrenaline auto-injectors to carry at all times. These can help stop an anaphylactic reaction becoming life threatening. They should be used as soon as a serious reaction is suspected, either by the person experiencing anaphylaxis or someone helping them.

How long does adrenaline injection take to start working?

The medicine should start working almost immediately. If your child’s symptoms have not improved 5 minutes after using the auto-injector, give another dose of adrenaline using a new pen. Keep the child in the recovery position or lying down till help arrives.

Why adrenaline should not be given intravenously?

In the treatment of anaphylaxis and in other patients with a spontaneous circulation, intravenous adrenaline can cause life-threatening hypertension, tachycardia, arrhythmias and myocardial ischaemia. Adrenaline should be used with caution in elderly patients.

What syringes should be in an anaphylaxis kit?

An anaphylaxis pack normally containing two ampoules of adrenaline (epinephrine) 1:1000, four 23G needles and four graduated 1ml syringes (*syringes should be suitable for measuring a small volume). Packs should be checked regularly to ensure the contents are within their expiry dates.

How do you dilute adrenaline in anaphylaxis?

dilute 1 ampoule (1 mL) of adrenaline 1:1000 with 9 mL water for injection or normal saline.


  1. The mainstay in the treatment of severe anaphylaxis is the prompt use of adrenaline which can be lifesaving. …
  2. All ampoules of adrenaline contain 1 mg (1000 microgram).
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