Epinephrine

Question 1

Indications

Answer 1

Cardiac Arrest, Severe bronchospasm, symptomatic bradycardia, hypotension unresponsive to other therapyy

Question 2

Contraindications

Answer 2

Hypothermia

Question 3

Precautions

Answer 3

Potentiates other sympathomimetic, reacts with alkaline solutions such as sodium bicarbonate and should not be mixed with alkaline agents

Question 4

Adverse effects

Answer 4

Hypertension, ventricular dysrhythmias, tachycardia, nausea and vomiting

Question 5

Adult Dose

Answer 5

Cardiac arrest
Epinephrine ( 1mg/1:10,000) IVP/IO

Allergic reaction
Epinephrine (1:1,000) 0.01 mg/kg SQ not to exceed 0.5ml

Question 6

Pediatri Dose

Answer 6

Cardiac Arrest
Epinephrine (0.01 mg/kg 1:10,000) IV/IO

Allergic reaction
Epinephrine 1;1,000 at 0.01 ml/kg SQ - max dose 0.3ml - IM IF SHOCK
Epinephrine 1:10,000 at 0.1 ml/kg slow IVP

Question 7

Special considerations

Answer 7

Raising blood pressure and increasing heart rate may cause myocardial ischemia and increased myocardial oxygen demand

Use extreme caution with patients >35 years old or patients with cardiac history who are having an allergic reaction less it is true anaphylaxis with acute airway compromise as it may precipitate acute coronary syndrome

Question 8

Protocols used

Answer 8

A-2 Allergic reaction
A-8 Asystole/PEA
A-9 Bradyarrythmia
A-10 V-fib/V-tach
A-22 Overdose
B-5 pediatric bradyarrythmias
B-6 Pediatric Asystole/ PEA
B-7 Pediatric V-fib/V-tach
B-10 Pediatric allergic reaction
B-16 Pediatric croup
B-17 Neonatal resusitation
B-19 pediatric shock