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Emergency injection with Solu Cortef template .pdf

Original filename: Emergency injection with Solu-Cortef-template.pdf
Title: Microsoft Word - Emergency injection with Solu-Cortef-template.docx

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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:  _________________________________________________________________________  
ICE:  ______________________________________________________________________________  

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