Chapter 1 - Adrenaline

Question 1

Presentation?

Answer 1

Pre-filled syringe or ampoule containing 1 milligram of adrenaline in 1 ml (1:1,000).

Question 2

Indications?

Answer 2

Anaphylaxis.

Life threatening asthma with failing ventilation and continued deterioration despite nebuliser therapy.

Question 3

Actions?

Answer 3

Stimulates both alpha and beta adrenergic receptors, resulting in myocardial and cerebral blood flow being enhanced during CPR.

Reverses allergic manifestations of anaphylaxis.

Reverses bronchospasm in acute severe asthma.

Question 4

Contraindications?

Answer 4

Do not give repeat dosages to hypothermic patients.

Question 5

Cautions?

Answer 5

Severe hypotension may occur in patients on non cardio selective beta blockers.

Question 6

Route?

Answer 6

Intramuscular via antero-lateral aspect of thigh or upper arm.

Question 7

Initial dose?

Answer 7

500 micrograms.

Question 8

Repeat dose?

Answer 8

500 micrograms.

Question 9

Dose interval?

Answer 9

5 minutes.

Question 10

Volume?

Answer 10

0.5ml

Question 11

Dose limit?

Answer 11

No limit.