Epinephrine

Question 1

What is the Epi concentration for allergic reaction?

Answer 1

1:1,000

Question 2

What is the Epi concentration for cardiac?

Answer 2

1:10,000

Question 3

What is the brand name for Epi?

Answer 3

Adrenalin

Question 4

What drug class is Epi

Answer 4

Sympathomimetic

Question 5

What are the indications for Epi?

Answer 5

Cardiac arrest.
Symptomatic bradycardia refractory to Atropine and pacing.
Severe hypotension secondary to bradycardia and pacing.
Allergic/anaphylactic reaction.
Asthma.

Question 6

Mechanism of action of Epi

Answer 6

Alpha and Beta agonist (some alpha, more beta).

Question 7

What is the action of Beta 1?

Answer 7

Increase inotropic, chronotropic, and dromotopric effects

Question 8

What is the action of Beta 2?

Answer 8

Bronchial smooth muscle relaxation

Question 9

What are the contraindications of Epi?

Answer 9

Hypertension, Hypothermia, Pulmonary
Edema, Myocardial Ischemia, Hypovolemic
Shock

Question 10

What are the adverse effects of Epi?

Answer 10

Nervousness, restlessness, headache, tremor, pulmonary edema, dysrhythmias, chest pain, hypertension, tachycardia, N/V, anxiety

Question 11

What are some precautions of Epi?

Answer 11

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

Question 12

What is the Epi dose of allergic reaction and asthma

Answer 12

0.3-0.5mg IM/SC (1:1,000)

Question 13

What is the Epi dose of cardiac arrest in an adult?

Answer 13

1mg IV/IQ over 3-5mins (1:10,000)

Question 14

What is the Epi dose for bradycardia?

Answer 14

2-10 micrograms/minute infusion

Question 15

What is the pediatric dose of Epi for allergic reaction?

Answer 15

0.01 mg/kg of a 1:1,000 IM/SC with Max of 0.3 mg

Question 16

What is the pediatric dose of Epi for cardiac arrest?

Answer 16

0.01 mg/kg of 1:10,000 q 3-5 minutes max single dose 1 mg