Epinephrine (1:1,000 and 1:10,000)

Question 1

Brand Name

Answer 1

Adrenalin

Question 2

Class

Answer 2

Sympathiomimetic

Question 3

Mechanism of Action

Answer 3

Alpha and Beta (some A but more B)
Beta 1:+ inotropic, chronotropic, and dromotropic effects
Beta 2: Bronchial smooth muscle dilation

Question 4

Indications

Answer 4

Cardiac Arrest, symptomatic bradycardia,. Refractory to atropine and pacing, allergic reaction, anaphylaxis, asthma

Question 5

Contraindications

Answer 5

Hypertension, Hypothermia, Pulmonary edema, Myocardial Ischemia, Hypovolemic shock,

Question 6

Adverse effects

Answer 6

Headache, tremors, HTN, pulmonary edema, dysrhythmias, chest pain, tachycardia, N/V, anxiety

Question 7

Precautions

Answer 7

Inactivated by exposure to light and alkaline solutions. MAOI’s may potentiate effects. Beta blockers will blunt effects.

Question 8

Dose

Answer 8

Asthma and Anaphylaxis: 0.3-0.5 mg IM
Cardiac Arrest: 1mg IV of 1:10,000
Bradycardia: 2-10mcg/min infusion 1:10,000
Pediatric: 0.01 mg/kg IV/IO 1:10,000