Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

Epinephrine error

Recently I witnessed a medication error with epinephrine, the patient was a 26 year old female, written for 0.5mg of epinephrine sq due to a allergic reaction to a medication, PT had hives/facial swelling. The patient was given 0.5mg of epinephrine 1:10,000 IV push. The patient for a few moments had sinus tachycardia, shortness of breath, chest pain, decreased vision & the feeling as if they were going to pass out. After a minute or so vitals were back to baseline & the patient only had complaints of a headache. Patient was admitted for observation, troponins/ekg were normal, echocardiogram was normal, also a Mri of the head was done as the patient had continued headache which was negative for any findings. My question is do epinephrine errors happen often? Also, I'm curious how this patient received such a high dose of epi but had no harm done, seems rare.....

Featured Replies

ACLS guidelines state that for an allergic reaction SQ epi is the ONLY way.

1. We are dealing with an allergic reaction not a cardiac emergency.

2. Concentration is diff so the dose is too.

3. If you refer to ACLS guidelines, it spells it out

4. Yes. This is actually common. I went to a rapid response where the pt. Was having an allergic rxn to topical betadine and they cracked the crash cart to admin epi IV. I stopped the process and educated staff. It slowed the process but it the right dose and route was administered.

4. I think people just forget.

Sounds like a great topic for a unit education session/ inservice. You should co ordinate with your education department and pharmacy to get something started.

All nurses can make a mistake learning from the mistakes can help improve your whole unit.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Add a Comment

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.