Emergency injection with Solu Cortef template .pdf
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If I cannot communicate clearly with you OR appear to be in distress, I need an IMMEDIATE emergency
injection with Solu-‐Cortef, which I am carrying. This cannot wait for an ambulance or medical
professional – each minute that passes is critical. Please follow these steps, and thank you in advance.
Step 1: Locate these items on my person:
• 100 mg Solu-‐Cortef Act-‐O-‐Vial
• 2 ml syringe
• Alcohol wipe
Step 2: If possible, wash your hands
Step 3: Mix the 100 mg Solu-‐Cortef Act-‐O-‐Vial
Remove the two-‐chamber vial containing 100 mg Solu-‐Cortef Act-‐O-‐Vial from the packaging.
Press the yellow cap down, so that the solvent can mix with the powder (100 mg hydrocortisone).
Mix the contents gently, making a semi-‐circular movement with your wrist (do not shake) until the
powder is completed dissolved. The powder is completely dissolved once the solution is clear.
Step 4: Draw up the Solu-‐Cortef
Tear the packaging of the 2ml syringe halfway down the back, and place the drawing-‐up needle on the
2ml syringe, push the needle on and turn it slightly.
Remove the protective disc from the center of the yellow plastic cap of the vial.
Use an alcohol pad to clean the rubber stopper of the vial with a circular motion.
Remove the cap from the needle.
Insert the needle into the vial. Turn the vial upside down. Ensure that the opening of the needle is at the
‘bottom’ of the vial. Then draw up the liquid.
Once all the liquid has been drawn up, turn the vial the right way up – with syringe and needle still
inserted – before you remove the needle from the vial.
Draw in a little air and put the cap back on the needle.
Remove the injection needle from its packaging and replace the drawing-‐up needle with
the injection needle.
Step 5: Expel air from the syringe
Check the syringe for air bubbles. If there are any air bubbles in the liquid, remove them
by flicking gently against the syringe body, holding it upright with the needle pointing upwards. There
needs to be a little air above the liquid, where the bubbles can go.
Now gently expel all the air from the syringe by pushing on the plunger. Check the opening of the needle
and stop pressing the plunger as soon as a drop of liquid appears. Put the protective cap back on the
Step 6: Locate injection site on upper thigh
Upper leg muscle: draw imaginary lines to divide the upper leg into three equal
sections, choose the middle section and select a site on the outside of the leg.
Step 7: Injecting
Take hold of the prepared syringe with Solu-‐Cortef Act-‐O-‐Vial.
The muscle at the chosen location needs to be relaxed.
Spread the skin slightly between thumb and forefinger.
Hold the syringe like a dart, and push the needle for 2/3 of its length into the chosen injection site at a
right angle to the skin.
Draw the plunger back slightly for 5 seconds, to ensure that you have not pricked into a blood vessel.
If blood appears, stop and withdraw the needle; then repeat the above instructions at a different injection
If you draw no blood and feel some resistance, depress the plunger slowly and inject the liquid.
When you have finished, remove the needle in a quick, smooth movement.
Thank you! Once the injection has been given, please call an ambulance and let them know you found me
in adrenal crisis and administered Solu-‐Cortef. Important: I cannot wait until the ambulance arrives!
My name: _________________________________________________________________________