EPINEPHRINE (Adrenalin) Flashcards
EPINEPHRINE (Adrenalin)
Name/Class: EPINEPHRINE (Adrenalin)/Sympathomimetic
Description: Epinephrine is a naturally occurring catecholamine that increases heart rate, cardiac contractile force myocardial electrical activity, systemic vascular resistance, and systolic blood pressure and decreases overall airway resistance and automaticity. It also, through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity.
Indications: To restore rhythm in cardiac arrest and severe allergic reactions.
Contraindications: Narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock;
Dosage/Route: Arrest: 1 mg of 1:10,000 IV q 3 to 5 min (ET: 2 to 2.5 mg 1:1,000).
Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000). All subsequent doses 0.1 mg/kg IV/IO. No max.
Adult Bradycardia (2-5mcg/min) IV Drip mix 1mg/250cc
Allergic reactions: 0.3 to 0.5 mg of 1:1,000 IM q 5 to 15 min as needed or 0.5mg of 1:10,000 IV if IM dose ineffective or severe reaction. Consider IV Drip 2-10mcg/min if severe
Pedi: 0.01 mg/kg (Max 0.5) of 1:1,000 IM/10 to 15 min or 0.01 mg/kg of 1:10,000 IV if IM dose ineffective or severe.
Asthma/COPD 0.01mg/kg to max of 0.3mg 1-1,000 IM
