Epi 1:10,000

Question 1

Epi 1:10,000

Class

Answer 1

Natural Catecholamine

both Alpha & Beta

Question 2

Epi 1:10,000

Action

Answer 2

On Bronchi (beta 2):
-Bronchodilation

On Peripheral Vasculature (alpha):
-Vasoconstriction

On Heart (beta 1):

• +Pulse
• +Contractility
• +AV Conduction
• +Irritability

Question 3

Epi 1:10,000

Indication

Answer 3

Pulseless Dysrhythmias

• Asystole
• PEA
• Pulseless VT & VF

Anaphylaxis in extremis

• Severe hypotension
• Severe Resp Distress

Question 4

Epi 1:10,000

Dosage/Route

Answer 4

Pulseless Dysrhythmias (Asystole, PEA, P…VT & VF)

• 1mg IVP/IO during CPR compressions
• may repeat every 3-5 mins during arrest (no max)

Anaphylaxis in extremis

• 0.1-0.3 mg S IVP/IO
• may repeat every 5-15 mins prn

Question 5

Epi 1:10,000

Side Effects

Answer 5

• SVT (Supraventricular Tachycardia)

- Ventricular Irritability

Question 6

Epi 1:10,000

Contraindications

Answer 6

None in emergency settings.

Question 7

Epi 1:10,000

Special Information

Answer 7

• Assess effectiveness by reassessing Pt & ECG for desired/side effects.
• Alkalosis or Acidosis may decrease effectiveness.
• Flush IV tubing between Bicarbonate & Epi.

Question 8

Epi 1:10,000

Peds Note

Answer 8

-Refer to Ped Drug Guide

• For Pulseless Arrest & Tx of Symptomatic Bradycardia unresponsive to O2 & ventilation:
• 0.01mg/kg (0.1 mL/kg) IV/IO q 3-5 min
• If no IV: Epi 1;1,000 0.1mg/kg ET until IV/IO established
• For ET admin, dilute into 2-3mL NS