Epinepherine (Adrenalin)

Question 1

Indications
• Pulseless Arrest
• Anaphylaxis
• Asthma
• Bradycardia with poor perfusion
• Airway obstruction secondary to croup or epiglottitis

Dosage and Administration Adult:
Pulseless Arrest
1 mg (10 ml of a 1:10,000 solution), IV/IO bolus.
Repeat every 3-5 minutes.
Bradycardia/ hypotension refractory to other interventions (Contact Base): Continuous infusion titrated to effect: 1 mg in 250 ml of Normal Saline IV/IO infused at 2 mcg/min until desired BP of > 90 mmHg systolic achieved.
Asthma:
0.3 mg (0.3 ml of a 1:1,000 solution) IM. May repeat dose x 1.
Systemic allergic reaction:
0.3 mg (0.3 ml of a 1:1,000 solution) IM. May repeat dose x 1.
Severe systemic allergic reaction (Anaphylaxis) refractory to IM epi (Contact Base): Continuous infusion titrated to effect: 1 mg in 250 ml of Normal Saline IV/IO infused at 2 mcg/min until desired BP of > 90 mmHg systolic achieved.
Epinephrine Auto-Injector (See Epi auto injector protocol)
Pediatric:
Cardiac arrest:
0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000 solution).
Subsequent doses repeated every 3-5min: 0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000 solution) Bradycardia (CONTACT BASE)
0.01 mg/kg (0.1 ml/kg of 1:10,000 solution) IV/IO
Asthma
0.01 mg/kg (0.01 ml/kg of 1:1,000 solution) IM
Moderate to Severe Allergic Reactions
0.01 mg/kg (0.01 ml/kg of 1:1,000 solution) IM
Severe systemic allergic reaction (Anaphylaxis) refractory to IM epi (Contact Base):
0.01 mg/kg (0.1 ml/kg of 1:10,000 solution) IV/IO

Answer 1

Epinephrine (Adrenalin)