Epinepherine (Adrenalin)

Question 1

Class (3)

Answer 1

• Sympathomimetic
• Alpha and beta adrenergic (agonist)
• Endogenous catecholamine

Question 2

Actions (3)

Answer 2

• Causes positive intropic, chronotropic, and dromotropic effects (beta effects)
• Peripheral vasoconstriction (alpha effect) which increases the coronary perfusion pressure
• Bronchodilation (beta effect)

Question 2

Dose/Route

Answer 2

See HI S.O. & ACLS algorithm

Question 3

Indications (3)

Answer 3

• ACLS: refer to tx algorithm (asystole, VF, PEA, symptomatic brady)
• Bronchospasm (asthma)
• Anaphylaxis: to relieve bronchoconstriction and prevent degranulation of mast cells

Question 4

Peds dose

Answer 4

See HI S.O. & PALS algorithm

Question 5

Standard Prep

Answer 5

• 1 mg/10 CC preloaded syringe 1:10,000
• 1 mg/CC tubex 1:1,000
• 30 mg/30 CC multi-dose vial

Question 7

Contraindications (4)

Answer 7

• Hypersensitivity
• Hypovoleic shock
• Coronary insufficiency
• Hypertension

Question 7

Precautions

Answer 7

• Inactivated in alkaline solution
• May increase myocardial oxygen demand as a result of tachycardia
• Do not give sc for anaphylaxis if skin of pt is pale, cold, diaphoretic
• In code resuscitation AC IV preferred and after each IV drug administration, immediately follow with a 20-30 CC bolus of IV fluid, elevate arm if possible in the field
• Inform RN of IV infiltration because can cause tissue sloughing-need phentolamine to counteract

Question 8

Side Effects (9)

Answer 8

• Nervousness
• Anxiety
• Tremor
• Tachycardia
• HA
• N & V
• Hypertension
• Arrhythmias
• Dilated pupils