Adrenaline (1 in 1,000)

Question 1

Drug code for Adrenaline (1 in 1,000)?

Answer 1

ADM

Question 2

Presentation of Adrenaline (1 in 1,000)?

Answer 2

pre-filled syringe or ampoule containing 1 milligram of adrenaline (epinephrine) in 1ml (1:1,000) ADM

Question 3

Indications for Adrenaline (1 in 1,000)?

Answer 3

Anaphylaxis

Life-threatening asthma with failing ventilation and continued deterioration despite nebuliser therapy

Question 4

Actions of Adrenaline (1 in 1,000)?

Answer 4

Adrenaline is a sympathomimetic that stimulates both alpha- and beta- adrenergic receptors
As a result myocardial and cerebral blood flow is enhanced during CPR and CPR becomes more effective due to increased peripheral resistance which improves perfusion pressures
Reverses allergic manifestations of acute anaphylaxis
Relieves bronchospasm in acute severe asthma

Question 5

Cautions for use of Adrenaline (1 in 1,000)?

Answer 5

Severe hypertension may occur in patients on non-cardioselective beta-blockers e.g. propranolol
Do not administer IV adrenaline in cases of anaphylaxis

Question 6

Age at which the standard dose of adrenaline (1 in 1,000) can be given?

Answer 6

≥12 years and adult

1 milligram in 1ml

Question 7

Route of adrenaline (1 in 1,000)?

Answer 7

Intramuscular, antero-lateral aspect of thigh

Question 8

Initial dose of adrenaline (1 in 1,000)?

Answer 8

500 micrograms

Question 9

Can a repeat dose of adrenaline (1 in 1,000) be given?

Answer 9

yes, micrograms

Question 10

Dose interval of adrenaline (1 in 1,000)?

Answer 10

5 minutes

Question 11

Volume of adrenaline (1 in 1,000) given?

Answer 11

0.5ml

Question 12

Is there a maximum dose of adrenaline (1 in 1,000) that can be given?

Answer 12

No limit