Epi pen presentation

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  • On screen for introduction.
  • We will be covering three main questions on Anaphylaxis: What is it? What causes it? How do we treat it?
  • See attached.
  • Get the class to name specific causes from each category. Food - Medications - Insect Venom- Latex - Exercise - Idiopathic (unknown causes)
  • Symptoms that suggest anaphylaxis Generalized flushing of the skin Nettle Rash Sense of impending doom Swelling of the mouth and throat (angio-oedema) Difficulty swallowing or speaking Alterations in heart rate Asthma Abdominal pain, nausea or vomiting Sudden feeling of weakness Collapse and unconscioussness Allergens Responsible? Peanut Tree nuts Milk and dairy products Egg Sesame Fish Shellfish Natural latex rubber Wasp and bee venom Penicillin
  • Epinephrine Epinephrine is a hormone produced in the body by the adrenal glands. It is released at times of acute stress to enhance our capability of "fight or flight". It increases heart rate, diverts blood to the muscles, constricts blood vessels and opens the airways. When you administer a dose of epinephrine, you are giving the body something that it is making already. You are just giving it faster and at a higher dose. Epi Sr./Jr.? Dosage difference. How to hold it. Check for expiry date, check for cloudiness How is it stored? Epi does not last long Practical exercise
  • Epi pen presentation

    1. 1. Anaphylaxis & The Epi-PEN 1/
    2. 2. Objectives <ul><li>Understand anaphylaxis </li></ul><ul><li>Understand how you can help </li></ul><ul><li>Learn what to do with an EpiPEN </li></ul><ul><li>Learn what NOT to do </li></ul>1/
    3. 3. Anaphylaxis <ul><li>What is it? </li></ul><ul><li>Causes? </li></ul><ul><li>Treatment? </li></ul>1/
    4. 4. Anaphylaxis <ul><li>What is it? </li></ul>1/
    5. 5. Anaphylaxis <ul><li>Causes? </li></ul><ul><ul><li>Food </li></ul></ul><ul><ul><li>Medications </li></ul></ul><ul><ul><li>Insect Venom </li></ul></ul><ul><ul><li>Latex </li></ul></ul><ul><ul><li>Exercise </li></ul></ul>1/
    6. 6. Anaphylaxis <ul><li>Symptoms? </li></ul><ul><ul><li>Generalized flushing of the skin </li></ul></ul><ul><ul><li>Nettle Rash </li></ul></ul><ul><ul><li>Sense of impending doom </li></ul></ul><ul><ul><li>Swelling of the mouth and throat (angioedema) </li></ul></ul><ul><ul><li>Difficulty swallowing or speaking </li></ul></ul><ul><ul><li>Alterations in heart rate </li></ul></ul><ul><ul><li>Asthma </li></ul></ul><ul><ul><li>Abdominal pain, nausea or vomiting </li></ul></ul><ul><ul><li>Sudden feeling of weakness </li></ul></ul><ul><ul><li>Collapse and unconsciousness </li></ul></ul><ul><li>Allergens responsible for most anaphylaxis? </li></ul><ul><ul><li>Peanut </li></ul></ul><ul><ul><li>Tree nuts </li></ul></ul><ul><ul><li>Milk and dairy products </li></ul></ul><ul><ul><li>Egg </li></ul></ul><ul><ul><li>Sesame </li></ul></ul><ul><ul><li>Fish </li></ul></ul><ul><ul><li>Shellfish </li></ul></ul><ul><ul><li>Natural latex rubber </li></ul></ul><ul><ul><li>Wasp and bee venom </li></ul></ul><ul><ul><li>Penicillin </li></ul></ul>1/
    7. 7. Anaphylaxis <ul><li>Anaphylaxis Protocol </li></ul><ul><li>Treatment </li></ul><ul><ul><li>Epinephrine </li></ul></ul><ul><li>Epinephrine is a hormone produced in the body by the adrenal glands. It is released at times of acute stress to enhance our capability of &quot;fight or flight&quot;. It increases heart rate, diverts blood to the muscles, constricts blood vessels and opens the airways. When you administer a dose of epinephrine, you are giving the body something that it is making already. You are just giving it faster and at a higher dose. </li></ul>1/
    8. 8. Epinephrine <ul><li>What is it? </li></ul><ul><ul><li>A.k.a adrenaline </li></ul></ul><ul><ul><li>Hormone released in response to stress </li></ul></ul><ul><ul><li>Increases… </li></ul></ul><ul><ul><ul><li>Mental alertness </li></ul></ul></ul><ul><ul><ul><li>Efficiency of muscle contraction </li></ul></ul></ul><ul><ul><ul><li>Blood sugar level </li></ul></ul></ul>1/
    9. 9. Epinephrine <ul><li>How does it work? </li></ul><ul><ul><li>Reduces throat swelling </li></ul></ul><ul><ul><li>Opens airways </li></ul></ul><ul><ul><li>Maintains blood pressure </li></ul></ul>1/
    10. 10. EpiPen <ul><li>What is it? </li></ul><ul><li>When to use it? </li></ul>1/
    11. 11. EpiPen: What is it? <ul><li>Automatic injection device </li></ul><ul><li>Disposable </li></ul><ul><li>Pre-filled with 1 dose of epinephrine </li></ul>1/
    12. 12. EpiPen: When to use it? <ul><li>You are a hypersensitive person </li></ul><ul><li>You have a prescription </li></ul><ul><li>You have an anaphylactic emergency </li></ul>1/
    13. 13. EpiPen <ul><li>Indications… </li></ul><ul><ul><li>Exposure </li></ul></ul><ul><ul><li>Prescription </li></ul></ul><ul><ul><li>Anaphylaxis </li></ul></ul>1/
    14. 14. EpiPen <ul><li>How a patient should use it </li></ul><ul><li>Common mistakes </li></ul>1/
    15. 15. 1/ <ul><li>CALL FOR HELP!!! </li></ul><ul><li>Remove the device from the plastic container </li></ul>EpiPen
    16. 16. <ul><li>Remove the grey cap </li></ul><ul><li>Arms the unit ready for use </li></ul>EpiPen 1/
    17. 17. <ul><li>Clench Epipen in fist </li></ul><ul><li>Press BLACK TIP against the thigh </li></ul><ul><li>Wait for a loud click </li></ul><ul><li>Count to 10 Mississippi </li></ul>EpiPen 1/
    18. 18. <ul><li>Remove pen from thigh </li></ul><ul><li>Massage injection area </li></ul><ul><li>Apply pressure </li></ul><ul><li>Record time </li></ul><ul><li>CALL FOR HELP!!! </li></ul>EpiPen 1/
    19. 19. EpiPen <ul><li>Immediately After Use… </li></ul><ul><ul><li>Make sure paramedics are still coming </li></ul></ul><ul><ul><ul><li>Give them used EpiPen </li></ul></ul></ul><ul><ul><ul><li>Or… </li></ul></ul></ul><ul><ul><li>Take victim to Emergency </li></ul></ul><ul><ul><ul><li>Give M.D. used EpiPen </li></ul></ul></ul>1/
    20. 20. EpiPen : Mistake #1 <ul><li>Holding the wrong end and injecting the thumb is a bad idea! </li></ul><ul><li>Remember the BLACK end contains the needle </li></ul>1/
    21. 21. EpiPen: Mistake #1 1/
    22. 22. EpiPen: Mistake #2 <ul><li>Remove the grey cap </li></ul><ul><li>If not, EpiPen will not work no matter how hard you try </li></ul>1/
    23. 23. EpiPen: Mistake #3 <ul><li>There is no button at the white end </li></ul><ul><li>Unless you exert pressure the EpiPen will not work! </li></ul>1/
    24. 24. True or False <ul><li>It is ok to use an EpiPen through clothing </li></ul><ul><ul><li>TRUE </li></ul></ul>1/
    25. 25. <ul><li>It is ok to remove the gray activation cap as long as you put it back on </li></ul><ul><li>FALSE: DO NOT REMOVE UNTIL READY TO USE </li></ul>True or False 1/
    26. 26. Questions? 1/
    27. 27. 1/ THANK YOU

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