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 addisons.org.uk Sunday, 20. January 2008 21:45:53

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How to give an emergency injection of Efcortesol®

 

By:  Nick Willson & Suzanne Curran   Monday, 7th. July 2003

In an emergency extra steroid medication may be needed via an emergency injection of hydrocortisone. This pictorial guide provides step by step guidance on how to administer the injection of Efcortesol.

For our Solucortef® emergency injection instructions Click here...
 
How to give an emergency injection of Efcortesol®
Equipment - Syringe, Needle & Efcortesol®
Equipment

The quickest way to open the syringe and needle is to push through the paper

 

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Tap and break Efcortesol®
Open the vial

Tap the Efcortesol® ampoule to remove liquid from the top, the “dot” is where to break it open

 

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Attach the needle to the syringe and remove the guard
Attach needle and syringe

Push firmly to attach the needle to the syringe and carefully remove the shield

 

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Draw the Efcortesol® out of the bottle into the syringe
Draw up

Hold the ampoule with your non-dominant hand and draw up with other

 

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remove the air from the syringe
Remove air

Hold the syringe at eye level, check for bubbles by gently tapping the barrel. Expel any air by pressing the plunger until a drop of liquid forms at the top of the needle.

 

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Doses
Dose
Child 0-1 years

= 25 mgs
Dose
Child 1-5 years

= 50 mgs
Dose
Child 5+ years
or adult
= 100 mgs
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Find the site, a hands span from the hip and a hands span from the knee on the side on the leg
Find site

Ideally the injection should not be through a layer of clothing so it is advisable to bare the skin of the target site. The best site is in to the middle third of the outside of the thigh for this intramuscular injection

 If giving yourself the injection use your dominant hand to hold the syringe, you need to inject yourself on the same side. e.g. right hand, right thigh

 

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Inject

Give medication

Stretch the skin slightly with your non-dominant hand, hold the syringe like a dart in your dominant hand. Insert the needle swiftly and firmly and at an angle of 90 degrees.

Make sure only 1cm of the needle is left showing. Depress the plunger steadily until it is empty. Quickly and swiftly remove the needle and apply a swab or tissue until bleeding stops.

 

Equipment
Open the vial
Attach needle and syringe
Draw up
Remove air
Doses
Find site
Give medication

Also see: Detailed Efcortesol® injection illustrated instructions (PDF format)...

Efcortesol® is a premixed solution of hydrocortisone injection 100mgs/ml.

This leaflet must be read in conjunction with any patient information leaflet provided by the manufacturer.

Based on an original leaflet published by Great Ormond Street Hospital for Children NHS Trust. Original made with assistance from Sovereign Medical, producers of Efcortesol®. Sovereign Medical had no editorial control over the contents of this leaflet. Produced with kind permission of the Great Ormond Street Hospital for Children NHS Trust, by the ADSHG - July 2003.

 

 ADDISON'S INFORMATION  
  What is Addison's disease?
  Spotting the signs and diagnosis
  Addison's disease Owner's Manual
  Real life emergency experiences
  Personal experiences & life stories
  Recent medical research
  Links to medical information sites
 

>What to do in an emergency

EMERGENCY LINKS
  Addisonian crisis

  Emergency injections

  Emergency crisis letter
  Real life Experiences
  Addison's Disease Owner’s Manual
  Efcortesol® injection instructions (PDF format)

 

 

 
 
 
© Copyright 2007 Addison's Disease Self Help Group (ADSHG), registered charity no: 1106791 - All rights reserved.
 Editorial Team: Sarah J. Baker, Deana Kenward, Katherine White - Technical Design: Nick Willson
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