Cardiogenic Inadequate Perfusion

Question 1

Preparation of Adrenaline infusion

Answer 1

Prepare 47mL Normal Saline in 50ml syringe, add 3mg Adrenaline.
1mL/hr = 1mcg/min

Question 2

> ______mcg/min Adrenaline infusion likely to be harmful.

Answer 2

> 100 - consider fluid, accepting lower BP.

Question 3

First-line intervention for cardiogenic inadequate perfusion without crackles

Answer 3

250mL fluid bonus
Repeat if chest remains clear and inadequate/extremely poor perfusion persists.

Question 4

First line intervention if cardiogenic inadequate perfusion with crackles, or initial fluid bolus insufficient.

Answer 4

Adrenaline infusion commencing at 5mcg/min (5mL/hr) titration to SBP 100. (Max 250mcg/min). Consider IV bolus of 10mcg, increase to 50-100mcg IV boluses if syringe pump unavailable. Continue 250mL fluid boluses if chest clear up to 20mL/kg.