Course Access
Hi All
The National Immunisation Handbook 10th Edition states adrenaline MUSTbe given pages 89-91.:
Management of anaphylaxisRapid IM administration of adrenaline is the cornerstone of treatment of anaphylaxis. Adrenaline is life saving and must be used promptly.8
Anaphylaxis occurs without warning usually within 15 minutes of giving a vaccine. A protocol for the management of anaphylaxis adrenaline and 1 mL syringes must always be immediately at hand whenever vaccines are given.
If the patient is unconscious lie him/her on the left side and position to keep the airway clear. If the patient is conscious lie him/her supine in head-down and feet-up position (unless this results in breathing difficulties).If there are any respiratory and/or cardiovascular symptoms or signs of anaphylaxis give adrenaline by IM injection into the anterolateral thigh (see Use of adrenaline below for dosage). Adrenaline is not required for generalised non-anaphylactic reactions (such as skin rash or angioedema). If in doubt IM adrenaline should be given. No serious or permanent harm is likely to occur from mistakenly administering adrenaline to an individual who is not experiencing anaphylaxis.11Call for assistance. Never leave the patient alone.If oxygen is available administer by facemask at a high flow rate.If there is no improvement in the patients condition within 5 minutes repeat doses of adrenaline every 5 minutes until improvement occurs.Check breathing if absent commence basic life support or appropriate cardiopulmonary resuscitation (CPR) as per the Australian Resuscitation Council guideline12 (available at http://www.resus.org.au/policy/guidelines). In all cases transfer the person to hospital for further observation and treatment.Complete full documentation of the event including the time and dose(s) of adrenaline given.Also needs to be 1:1000
Jodie Burr
Infection Prevention and Control-Clinical Practice Consultant
Disability and Domiciliary Care Services
Department for Communities and Social Inclusion
103 Fisher Street Fullarton 5063
Mobile:0401 120 597
Jodie.Burr@dcsi.sa.gov.au
Dear all.
This is a question relevant to nurse immunisers
We are now in the middle of our employee flu vaccination campaign and the question has arisen about administering adrenaline.
If an employee has a reaction following administration of the vaccine and the health service has a 24 hour anaesthetic service and a code blue team
should the nurse immuniser wait to administer adrenaline until the team arrives?
Thanks in anticipation
Maree
Maree Sommerville
Infection Control Coordinator
Mercy Hospital for Women
163 Studley Road
Heidelberg 3084
DISCLAIMER This email and any files transmitted with it
may be confidential and intended solely for the use of the
individual or entity to whom they are addressed. If you have
received this email in error please notify the sender immediately
by return email and delete or destroy this message and its
attachments. While this email and any attachments have
been cleared by Mercy Health’s virus protection systems recipients
should use their own systems to detect computer viruses or other
materials that may corrupt files or systems. Find out more about
Mercy Health at http://www.mercyhealth.com.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au