Adrenaline 1:1000 (nebulised)

Question 1

What Clinical Publication Category is adrenaline 1:1,000 (nebulised)?

Answer 1

Mandatory (Red) No deviation from document permissible

Question 2

Is the nebulised administration of adrenaline 1:1,000 administered under a PGD?

Answer 2

Yes

Question 3

What clinical situation would indicate the nebulised administration of adrenaline 1:1,000?

Answer 3

Severe or life-threatening childhood croup in children aged 1 month or older

Question 4

Inclusion criteria for nebulised administration of adrenaline 1:1,000? (2)

Answer 4

Children aged 1 month and over with severe croup exhibiting signs of impending respiratory failure

Severe croup as by the Modified Taussig Croup Score or the Westley Croup Score

Question 5

Exclusion criteria for nebulised administration of adrenaline 1:1,000? (3)

Answer 5

None in life-threatening scenario

Aged less than 1 month of age

Aged 11 years of age or over

Question 6

Cautions for nebulised administration of adrenaline 1:1,000?

Answer 6

Upper airways compromise can be worsened by any procedure distressing the child, including the administration of medicine.

Question 7

Administration method for nebulised adrenaline 1:1,000? (2)

Answer 7

Empty adrenaline dose into nebulisation chamber of nebuliser, dilute with saline if required to make up to 5ml.

Connect nebuliser to medical oxygen at flow rate of 6-8L/Min to administer

Question 8

Dose and frequency of nebulised adrenaline 1:1,000 administration?

Answer 8

SINGLE dose

Over the age of 1 administer 5mg with no saline dilution

Refer to page for age for children under the age of 1 dosages