Epinephrine 1:1,000

Question 1

Epi 1:1,000 - Class

Answer 1

Natural Catecholamine (both alpha & beta effects)

Question 2

Epi 1:1,000 - Actions

Answer 2

• On the Bronchi (Beta 2) - Bronchodilation
• On the Peripheral Vasculature (Alpha) - Vasoconstriction
• On the heart (Beta 1) - increases HR, increases contractility, increases AV conduction, increases irritability

Question 3

Epi 1:1,000 - Indications

Answer 3

• Respiratory Distress - Asthma only (if pt is in severe distress and unable to use nebulizer)
• Allergic Reaction - systemic, acute urticaria/angioedema
• Anaphylaxis - respiratory distress, threatened airway, hypotension
• Asystole & PEA - via ET when unable to administer Epi 1:10,000 IVP/IO
• VF & pulseless VT - via ET when unable to administer Epi 1:10,000 IVP/IO

Question 4

Epi 1:1,000 - Dosage/Route 1

Answer 4

Respiratory Distress - Asthma only (if pt is in severe distress & unable to use nebulizer)

• 0.3 mg SC
• Use with caution if over 40 yrs, heart disease or BP > 150 systolic

Question 5

Epi 1:1,000 - Dosage/Route 2

Answer 5

Allergic Reaction - systemic, acute urticaria/angioedema

- 0.3 mg IM

Question 6

Epi 1:1,000 - Dosage/Route 3

Answer 6

Anaphylaxis

- 0.3 mg IM

Question 7

Epi 1:1,000 - Dosage/Route 4

Answer 7

Asytole/PEA/VF/Pulseless VT for ET use

- 2 mg diluted into 10 cc with NS, 1x via ET if no IV/IO line

Question 8

Epi 1:1,000 - Side Effects

Answer 8

• Supraventricular tachycardia (SVT)
• Ventricular irritability
• Tremors
• Anxiousness

Question 9

Epi 1:1,000 - Contraindications

Answer 9

None in the emergency setting

Question 10

Epi 1:1,000 - Special Information

Answer 10

• Assess pt and ECG for desired effect and side effects
• Caution in pts with underlying cardiac disease or hypertension
• Caution over age 40, BP > 150 systolic

Question 11

Epi 1:1,000 - Pediatric Note

Answer 11

Refer to Pediatric Drug Guide