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Should patients who need to carry an auto-injector always be given two auto-injectors, just in case they break one, fail to inject it correctly, or need more than one dose?

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Should patients who need to carry an auto-injector always be given two auto-injectors, just in case they break one, fail to inject it correctly, or need more than one dose?

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Most people who require an adrenaline auto-injector should be prescribed one device and properly trained in its use. It is important that the device is available at all times and paradoxically a carefree attitude may develop if multiple devices are prescribed. Device failure is exceedingly uncommon and patients should be instructed to always seek professional help if they have self-injected adrenaline so that a second dose if required can be administered. A second device should be prescribed for school children if one is to be kept at school, or if there is history of requiring multiple doses, or if the patient spends prolonged periods in a remote area. Question: 3. I work in general practice and feel that it would be easier to train our staff to use adrenaline auto-injectors rather than have to draw up adrenaline from ampoules to treat an anaphylactic reaction. This is not covered in the guidelines. Is it alright to do this? Answer: Auto-injectors are primarily for self use by patient

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