Adrenaline

Question 1

Adrenaline: Introduction

Answer 1

1) A naturally occurring sympathomimetic agent
2) Causes peripheral vasoconstriction
3) Stimulation of cardiac conduction system causes increased contractions
4) Causes bronchodilation and dilation of blood vessels in muscles

Question 2

Adrenaline: Indications

Answer 2

Anaphylaxis
Life-threatening Asthma
Severe Croup
Cardiac Arrest
Post-ROSC

Question 3

Adrenaline: Contraindications

Answer 3

Nil

Question 4

Adrenaline: Considerations

Answer 4

Pupil dilation
Hypertension
Tachyarythmias
Palpitations
Anxiety
Tremors

Question 5

Adrenaline: Precautions

Answer 5

Ischaemic Heart Disease

Hypertension

Hypovolaemia

Do not walk patient pre or post IM adrenaline administration in anaphylaxis - usually a minimum of 1 hour after 1 dose of Adrenaline and 4 hours if more than 1 dose of Adrenaline given
If given IV into a peripheral vein, follow each dose with a sodium chloride flush