Epinephrine 1-10000

Question 1

Epinephrin 1:10000:class

Answer 1

sympathomimetic

Question 2

Epinephrin 1:10000:route

Answer 2

IV push

Question 3

Epinephrin 1:10000:adult dose

Answer 3

cardiac arrest - 1 mg IV push;anaphylaxis - 0.1 mg - 0.2 mg slow IV push, 0.1 mg/min;profound symptomatic bradycardia -2-10 mcg/min IVPB continuous infusion, titrated to effect; mix 1 mg in 250 ml or 500 ml of NS or D5W

Question 4

Epinephrin 1:10000:pedi dose

Answer 4

cardiac arrest - 0.01 mg/kg rapid IV push;anaphylaxis - 0.01 mg/kg slow IV push, 0.1 mg/min, max of 0.3 mg per dose;profound symptomatic bradycardia -0.01 mg/kg slow IV push, 0.1 mg/min, max of 0.3 mg per dose

Question 5

Epinephrin 1:10000:drug actions

Answer 5

alpha:-peripheral vasoconstriction-increases blood pressure in anaphylaxis-decreases vessel permeability-increases coronary and cerebral perfusionbeta 1:-increases heart rate-increases contraction strengthbeta 2:-bronchodilation

Question 6

Epinephrin 1:10000:indications

Answer 6

cardiac arrest;anaphylaxis that is refractory to Epinephrine 1:1000 and fluid boluses;pedi:profound symptomatic bradycardia refractory to other treatments

Question 7

Epinephrin 1:10000:precautions

Answer 7

CPR:noneanaphylaxis:use cautiously in patients with COPD, CHF, history of AMI or heart disease;over 45;HTN;arrhythmias;laborother:moniter ECG closely;patients on beta blockers may need higher doses of epinephrine and/or Glucagon;don’t mix with Sodium Bicarbonate - flush between drugs

Question 8

Epinephrin 1:10000:side effects

Answer 8

CPR:noneanaphylaxis:-increases in myocardial oxygen demand leading to tachycardia, chest pain, arrythmiasheadache/flushing;nausea/vomiting;restlessness;tremors

Question 9

Epinephrin 1:10000:contraindications

Answer 9

NONE - if they need it, give it to them!