Adrenaline

Question 1

Adrenaline Indications

Answer 1

I BBSIT CASS
I- Imminent respiratory arrest from COPD
B- Brady cardia with moderate or severe cardiovascular compromise
B- Blood pressure support if unresponsive to Matrimonial
S- Severe asthma
I- IN for clinically significant epistaxis
T- Topical for clinically significant bleeding
C- Cardiac arrest
A- Anaphylaxis
S- Septic Shock, Cardiogenic shock, and neurogenic shock, unresponsive to 0.9% NaCl IV and metaraminol IV
S- Stridor

Question 2

Adrenaline Contraindications

Answer 2

None

Question 3

Adrenaline Cautions

Answer 3

1. Myocardial Ischemia (Because it will increase myocardial oxygen consumption)
2. Tachydysrhythmias (As adrenaline will make this worse)

Question 4

Adrenaline Dose Nebulised

Answer 4

Undiluted 1mg (1 ampoule)

Question 5

Adrenaline Dose IM

Answer 5

Undiluted 1mg (1 ampoule)
Lateral thigh is preferred IM site

Question 6

Adrenaline Dose IN

Answer 6

Dilute adrenaline to a total of 10ml using 0.9% NaCl solution.
1:10,000
Contains 0.1 mg/ml

Question 7

Adrenaline Dose Topical

Answer 7

Dilute adrenaline to a total of 10ml using 0.9% NaCl solution.
1:10,000
Contains 0.1 mg/ml

Question 8

Adrenaline Mechanism of Action

Answer 8

• By acting on alpha receptors, it constricts your blood vessels to help maintain your blood pressure and heart function.
• Through its action on beta receptors, it relaxes the smooth muscle in the airways of your lungs to help relieve shortness of breath and wheezing.

Question 9

Adrenaline Formulation

Answer 9

1mg in 1 ml ampoule

Question 10

Adrenaline Common Adverse Effects

Answer 10

1. Tachycardia
2. Tachydysrhythmia
3. Myocardia ischemia
4. Ventricular ectopy
5. Hypertension
6. Nausea and vomiting
7. Tremor, anxiety and sweating
8. Hypoglycaemia