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Epinephrine-containing formulations are contraindicated in areas supplied by end-arteries (fingers, ears, nose, toes) due to risk of tissue ischemia

This is particularly important with intramuscular injections as there is a chance that it could possibly cause the vaccine to back up through the subcutaneous tissue and therefore alter its effectiveness

She earned her Bachelors degree from Indiana University Southeast and her Masters in Nursing from Frontier University