Epinephrine Flashcards
Epinephrine
Name
Adrenalin
Epinephrine
Class
Sympathomimetic
Epinephrine
Description
Epinephrine is a naturally occuring catecholamine that increases heart rate, cardiac contractile force, myocardial electrical activity, systemic vascular resistence and systolic blood pressure and decreases overall airway resistance and automaticity. it also through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity.
Epinephrine
Indications
To restore rhythm in cardiac arrest, severe allergic reactions, severe SOB, bradycardia 3rd line except peds
Epinephrine
Contraindications
Narrow angle glaucomal; hemorrhagic, traumatic, or cardiac shock
Epinephrine
Dosage/Route
Cardiac arrest
1mg of 1:10,000 IV/3-5 mins (ET: 2-2.5 mg 1:1,000)
Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000) all subsequent doses 0.1mg/kg IV/IO no max
Epinephrine
Dosage/Route
Bradycardia
2-5 mcg/min IV drip mix 1mg/250cc
Pedi: 0.01 mg/KG
Epinephrine
Dosage/Route
Allergic reaction
0.3-0.5 mg of 1:1,000 IM or 0.05 to 0.1 mg of 1:10,000 IV if IM dose ineffective or severe reaction. Consider IV drip 2-10 mcg/min if severe
Pedi: 0.01 mg/kg (max 0.15) of 1:1,000 IM or 0.01 mg/kg of 1:10,000 IV if IM dose is ineffective or severe
Epinepherine
Dosage/Route
Asthma/COPD
0.01 mg/kg to max of 0.3 mg 1:1,000 IM