Epi 1:1000

Question 0

Epinephrine 1:1000, Dose?

Answer 0

Asthmatic bronchoconstriction, 0.3mg-0.5mg IM
Allergic reaction/Anaphylaxis, 0.3mg-0.5mg IM
Profound bradycardia, 2-10 mcg/min IVPB continuous infusion, titrated to effect
Mix 1mg in 500mL of Ns or D5W

Question 1

Epinephrine 1:1000, Class? Route?

Answer 1

Sympathomimetic

Intramuscular (IM)

Question 2

Epinephrine 1:1000, onset? duration?

Answer 2

Onset: Intramuscular, quick - 5-15 minutes
Duration: Intramuscular, 5-10 minutes

Question 3

Epinephrine 1:1000, indications?

Answer 3

Asthmatic bronchospasm refractory doesn't respond to Albuterol and Atrovent.
Allergic reaction (anaphylaxis).
Profound, symptomatic bradycardia refractory to other treatments.

Question 4

Epinephrine 1:1000, Precautions?

Answer 4

Monitor ECG closely.
Massage the site of injections.
Pts on beta blocks may need higher doses of epinephrine and/or Glucagon.

Question 5

Epinephrine 1:1000, Side effects?

Answer 5

Tachycardia, MI, Chest pain, Arrhythmias, headache, nausea, restlessness

Question 6

Epinephrine 1:1000, Special notes?

Answer 6

The Beta 1 effects of this drug require more myocardial oxygen demand.
Always watch the ECG for ventricular arrhythmias. Ask them about chest pain.
NEVER given Epinephrine 1:1000 IV Push!

Question 7

Epinephrine 1:1000, contraindications?

Answer 7

w/ Asthma - Heart disease/history of AMI, Over 45, Arrhythmias, Labor