Adrenaline (1 in 10,000)

Question 1

Presentation of Adrenaline (1 in 10,000)?

Answer 1

Pre-filled syringe containing 1 milligram of adrenaline (epinephrine) in 10 ml (1:10,000) ADX

Question 2

Drug code for Adrenaline (1 in 10,000)?

Answer 2

ADX

Question 3

Indications for Adrenaline (1 in 10,000)?

Answer 3

Cardiac arrest

Question 4

Actions of Adrenaline (1 in 10,000)?

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

Question 5

Cautions of Adrenaline (1 in 10,000)?

Answer 5

Severe hypertension may occur in patients on non-cardioselective beta-blockers e.g. propranolol
Do not give repeated doses of adrenaline in hypothermic patients

Question 6

Dosage and administration of Adrenaline (1 in 10,000)?

Answer 6

≥12 years and adult 1 milligram in 10ml
Initial dose: 1 milligram
Repeat dose: 1 milligram
Dose interval: 3-5 minutes 
Volume: 10ml 
Maximum dose: No limit

Question 7

When would you administer Adrenaline (1 in 10,000) during cardiac arrest where a shockable rhythm is discovered?

Answer 7

Administer adrenaline after the 3rd shock and then after alternate shocks, i.e. 5th, 7th etc

Question 8

When would you administer Adrenaline (1 in 10,000) during cardiac arrest where a non-shockable rhythm is discovered?

Answer 8

Administer adrenaline immediately IV access is achieved and then alternate loops

Question 9

What is the route of Adrenaline (1 in 10,000) administration?

Answer 9

Intravenous/Intraosseous - administer as a rapid bolus