Epinephrine Infusion for Anaphylaxis

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

1 post / 0 new
Rachel Tenison
Rachel Tenison's picture
Last seen: 3 months 1 week ago
Joined: 12/07/2019 - 15:06
Epinephrine Infusion for Anaphylaxis

We recently had a request to compound an epinephrine drip for anaphylaxis and came across a potential safety issue with ordering. The recommended concentration for anaphylaxis is 1 mcg/ml. We have the standard concentrations of 20 mcg/ml and 40 mcg/ml built into Epic. This resulted in considerable manipulation and work-around by the pharmacist in order to correctly enter an order for the 1 mcg/ml drip.

Has anyone come across this issue, and how did you improve safety for future orders?