1. Epipen In-Service

2. Purpose: The purpose of the Epipen is to administer a pre-measured dose of Epinephrine to patient with qualifying conditions.

3. Uses: The treatment of signs and symptoms of a severe allergic reaction These are airway compromise, i.e. stridor, difficulty breathing, i.e. wheezing and to reverse hemodynamic instability, i.e. hypotension and shock. These all can occur in patient having an allergic reaction

4. Procedure: Remove Epipen from box. Remove Epipen from plastic cylinder by unscrewing colored cap and always pointing black end away from you. Grasp unit and form a fist around it with the black tip pointing away from you. Remove gray plastic safety protective cap with administration end carefully pointed away from you.

5. Procedure Continued Hold black tip near the outer thigh of the patient. Swing and jab forcefully into the outer thigh until the unit clicks and at a 90 degree angle to the thigh. Hold the injector firmly against the thigh for 10 seconds. Remove the unit from the thigh and massage the area for 10 seconds.

6. Procedure Continued. Carefully place the used auto-injector needle first into the plastic cylinder. Then screw the storage cap back on completely and take device to the hospital. Note that 85% of the liquid will stay in the auto-injector and cannot be used. However, the patient has used the correct dose if the red flag appears in window.

7. Dosage Information. Adult device called Epipen administers 0.3 mg epinephrine. Pediatric device called Epipen Jr., administers 0.15 mg epinephrine.