epi 1:1000

Question 1

epi 1:1000 (class)

Answer 1

natural catecholamine (both alpha and beta effects)

Question 2

epi 1:1000 (actions 3; 1,1,4)

Answer 2

on bronchi (B2): bhronchodilation

on peripheral vasculature (alpha): vasoconstriction)

on the heart (B1):

increases HR, contractility, AV conduction, irritability

Question 3

epi 1:1000 (indications 3)

Answer 3

respiratory distress - asthma only (if pt is in severe distress and unable to use neb)

allergic reaction - systemic, acute urticaria/angioedema

anaphylaxis - respiratory distress, threatened airway, hypotension

Question 4

epi 1:1000 (dosage/route 4; 2,1,1,1)

Answer 4

respiratory distress - asthma only: 0.3mgSC
use with caution if over 40 years, heart disease or b/p >150s

allergic reaction - systemic: 0.3mg IM

anaphylaxis: 0.3mg IM

asystoly/pea/vf/pulseless vt for ET use: 2mg in 10CC NS, 1x via ET if no IV/IO line

Question 5

epi 1:1000 (side effects 4)

Answer 5

SVT
ventricular irritability
tremors
anxiousness

Question 6

epi 1:1000 (contraindications)

Answer 6

none in emergency setting

Question 7

epi 1:1000 (special information 3)

Answer 7

assess pt and ECG for desired effect and side effects

caution in pt with underlying cardiac disease or HTN

caution over age 40, BP>150 systolic

Question 8

epi 1:1000 (pediatric note)

Answer 8

refer to pediatric drug guide