Adrenaline Flashcards
What is the drug classification for Adrenaline?
Sympathomimetic
Which receptors does Adrenaline stimulate in the sympathetic nervous system?
Alpha and Beta receptors
Which drug schedule is Adrenaline classified under?
S3 (Therapeutic Poison)
What are the indications for Adrenaline?
- Cardiac arrest
- Anaphylaxis
- Croup
- Severe life-threatening bronchospasm or silent chest
What are the contraindications for Adrenaline?
Nil in the emergency setting
What are the precautions for Adrenaline?
- Hypertension
- Hypovolaemic shock
- Concurrent MAOI therapy
What actions does Adrenaline cause in the body?
- Peripheral vasoconstriction (Alpha 1)
- Increases heart rate by increasing the firing rate of the SA node (Beta 1)
- Increases rate of conduction through the AV node (Beta 1)
- Increases myocardial contractility and ventricular excitability (Beta 1)
- Causes bronchodilation (Beta 2)
How much Adrenaline is in an adult auto-injector (EpiPen)?
300mcg
How much Adrenaline is in a junior auto-injector (EpiPen)?
150mcg
What is the onset for Adrenaline administered via IV?
30 seconds
What is the onset for Adrenaline administered via IM?
60 seconds
What is the duration of Adrenaline?
5 - 10 minutes
What are the side effects of Adrenaline?
- Hypertension
- Palpitations
- Tachycardia/tachyarrhythmias
- Pupil dilation
- Tremor
- Anxiety