Adrenaline

Question 1

Presentation of Adrenaline?

Answer 1

1mg/1ml (1;1,000)

1mg/10ml (1:10,000)

Question 2

Indications for Adrenaline?

Answer 2

Anaphylaxis/ Severe allergic reaction 
Severe life-threatening bronchospasm or silent chest 
bradycardia with poor perfusion 
Cardiac arrest 
Croup 
Shock unresponsive to adeq. fluid resus.

Question 3

Contraindications of Adrenaline?

Answer 3

Nil

Question 4

Adult Dosage for anaphylaxis (adrenaline)

Answer 4

IM- 500mcg every 5 minutes, no max dose

neb- 5mg single dose

Question 5

Dosage for severe life-threatening bronchospasm or silent chest?

Answer 5

IM- 500microg, 5minute interval, no max dose

Question 6

Adrenaline Precautions?

Answer 6

Hypertension
Hypovolaemic shock
Current MAOI therapy
Quetiapine therapy

Question 7

Side effects of adrenaline?

Answer 7

Pupil Dilation
Tachycardia
Palpatations
Tremor

Question 8

Drug Class of Adrenaline?

Answer 8

Sympathomimetic

Question 9

Pharmacology of Adrenaline?

Answer 9

Naturally occurring catecholamine which acts on alpha and beta receptors (B1, B2 and A 1)

Question 10

Metabolism of Adrenaline

Answer 10

By sympathetic nerve endings

Question 11

Onset, duration, half life of adrenaline?

Answer 11

30-60 seconds, 5-10 minutes and 2 minutes

Question 12

Considerations for adrenaline?

Answer 12

If time critical, administer IM in vastus lateralis