b'ChapterWhat else should I know about the adrenaline auto injector?The adrenaline auto injector contains adrenaline (epinephrine) which is a naturally occurringhormone.Adrenaline auto injectors are designed for use by non-medical people.All staff must be aware and know where the adrenaline auto injector is stored. It is recommended that it be located in a central location such as the staff room or office where it is easily accessible. It should be kept in an insulated cooler bag with the patients name written clearly on the outside and with the Action Plan. Store the adrenaline auto injector at room temperature. Do not refrigerate or expose to direct sunlight or heat such as the glove box in the car. An insulated lunch box with a carry handle and label would be ideal.Periodically check the expiry date. Adrenaline auto injector has a shelf life of up to 18 monthsfrom the date of manufacture. It will then need to be replaced.Transient (temporary) side effects of adrenaline such as increased heart rate, trembling andpaleness are to be expected.No serious or permanent harm is likely to occur from mistakenly administering adrenaline usingan adrenaline auto injector to an individual who is not experiencing anaphylaxis.If in doubt give the adrenaline auto injector. If anaphylaxis is suspected, not giving the adrenaline auto injector can be more harmful than giving it, even when it may not have been necessary.The most important indicator of Anaphylaxis is the patients history of Anaphylaxis.Can I use other medicines (antihistamines, cortisone) instead of the adrenaline auto injector?No. If symptoms indicating a severe allergic reaction develop, you should not rely on othermedications. Antihistamines will not treat or prevent a severe allergic reaction from developing if given to someone once the reaction has started. Sometimes antihistamine medicines are prescribed for a mild reaction where there is only hives.First-time reactionIf a student presents with a severe allergic reaction, but has not been previouslydiagnosed with an allergy or being at risk of anaphylaxis, the school staff should followthe schools first aid procedures.Call ambulance 000. It may also include locating and administering the autoinjector for general use.Is it anaphylaxis or asthma?If the patient is known to be at risk of anaphylaxis and you are unsure whether they are having ananaphylaxis or asthma attack, you should:Give the adrenaline auto injector first. Then give asthma reliever medication (e.g. Ventolin).Adrenaline will also help relieve the asthma symptoms.188 Medical Emergencies'