Adrenaline 1:1,000

Question 1

Adrenaline 1:1,000 Class

Answer 1

Sympathetic agonist, Sympathomimetic – Vasoconstrictor.
Acts on both alpha & beta receptors and increases both heart rate and contractility.
It can cause peripheral vasodilation (beta) or vasoconstriction (alpha).

Question 2

Adrenaline 1:1,000 Presentation

Answer 2

Pre-filled syringe, ampoule or auto injector 1mg/ml (1:1,000)

Question 3

Adrenaline 1:1,000 Administration

Answer 3

Intramuscular (IM)
Intravenous (IV)
Intraosseous (IO)
Nebulised (Neb)

Question 4

Adrenaline 1:1,000 Indications

Answer 4

Severe Allergic Reaction / Anaphylaxis
Stridor
Symptomatic Bradycardia
Cardiogenic Shock

Question 5

Adrenaline 1:1,000 Contraindications

Answer 5

Hypersensitivity to Excipients

Question 6

Adrenaline 1:1,000 Dosages

Answer 6

Adult: Anaphylaxis
500 mcg (1:1,000) IM
Repeat every 3-5 mins if indicated

Adult: Symptomatic Bradycardia / Cardiogenic Shock
10 mcg IV/IO Repeat PRN

Paed:
< 6 months - 10 mcg/Kg IM
≥ 6 months to < 6 years - 150 mcg IM
≥ 6 years to < 12 years - 300 mcg IM
12 Years and up - 300 mcg IM (if small child or Prepubital) or 500mcg IM

Paed Stridor:
<1 year 2.5mg Neb
≥ 1 year 5mg Neb
(Rpt @ 30 mins PRN if required) (AP)

Sepsis
0.1 mcg/kg IV/IO

Question 7

Adrenaline 1:1,000 Side Effects

Answer 7

Palpitations
Angina like symptoms
Tachyarrhythmias
Hypertension

Question 8

Adrenaline 1:1,000 Additional Info

Answer 8

N.B. Double check the concentration on pack before use