Epinephrine 33649-5

Question 0

Epinephrine - Actions (3)

Answer 0

• causes positive inotropic/chronotropic/dromotropic effects (beta effects)
• peripheral vasoconstriction (alpha) which increases the coronary perfusion pressure
• bronchial dilation

Question 1

Epinephrine - Class (3)

Answer 1

• Sympathomimetic
• alpha/beta adrenergic (agonist)
• endogenous catecholamine

Question 2

Epinephrine - Indications (3)

Answer 2

• ACLS tx algorithms
• Bronchospasm (asthma)
• Anaphylaxis (relieve bronchoconstriction and degranulation of mast cells)

Question 3

Epinephrine - Contraindications (4)

Answer 3

• Hypersensitivity
• Hypovolemic Shock
• Coronary Insufficiency
• Hypertension

Question 4

Epinephrine - Side Effects (9)

Answer 4

HaD N/V & HANTTA

• HA
• Dilated Pupils
• HTN
• Anxiety
• Nervousness
• Tremor
• Tachycardia
• Arrhythmias

Question 5

Epinephrine - Precautions (5)

Answer 5

• Inactivated in alkaline solution (bicarb)
• May increase myocardial O2 demand due to tachycardia
• Do not give subcu for anaphylaxis if pale/cool/diaphoretic
• AC IV preferred with fluid bolus if coded
• inform RN of infiltration can cause tissue sloughing