Shortage of minijets


Please be aware that there is a national shortage of:

  • atropine minijets 1mg/10ml,
  • adrenaline 1:1,000
  • adrenaline 1:10,000
  • amiodarone

The shortage is down to a manufacturing issue, and it’s expected that stocks will run out at different times across the region. During this time, hospitals will supply vials for injection and these will be placed in Trust cupboards at each hospital.

Pre-filled syringes (minijets) should continue to be used if available.

Ampoules of atropine 1mg/ml.

If only the 1mg/ml preparation is available, this should be diluted to 10mls with normal saline 0.9% and administered in boluses of 6mls (600mcg) for adults. For children, refer to the Clinical Practice Guidelines 2013 on the age table; please note the common cause of bradycardia is hypoxia then vagal stimulation.

Atropine may be administered undiluted to adults as a bolus of 0.5ml (500mcg). If administered undiluted, please flush with at least 10mls water/saline to ensure the atropine is flushed out of the cannula.

Published 24th July 2014 

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