Epinephrine

Question 1

Class

Answer 1

Catecholamine

Question 3

Indications

Answer 3

1. Cardiac arrest of any origin
2. Severe hypotension/shock
3. Bradycardia
4. Anaphylaxis
5. Sever asthma exacerbation

Question 4

Contraindications

Answer 4

1. No absolution contraindication exists in the emergency setting
2. Relative contraindications are hypovolemic (shock due to blood loss) shock and hypothermia

Question 6

Dosing for Cardiac Arrest (asystole/pulseless arrest, v-fib, or pulseless v-tach)

Answer 6

1 mg IV/IO bolus (0.1 mg/ml [1:10,000] solution) every 3-5 mi for the duration of the arrest

Question 7

Dosing for Bradycardia (non-responsive to atropine or pacing)

Answer 7

2-10 mcg/min IV/IO continuous infusion

Question 8

Dosing for Post-Cardiac arrest hypotension (non-responsive to fluid therapy)

Answer 8

0.1 - 0.5 mcg/kg/min IV/IO continuous infusion

Question 9

Onset

Answer 9

<2 minutes

Question 10

Duration

Answer 10

2-10 minutes

Question 11

Dosing for Anaphylaxis and Severe Asthma Exacerbation

Answer 11

Initial: 0.3 mg (1 mg/mL [1:1,000] solution) IM, every 5 to 15 minutes as needed

Continuous Infusion: Initiate at 0.1 mcg/kg/min and titration by 0.05 mcg/kg/min every 2-3 min until blood pressure improves

Question 12

Trade name

Answer 12

Adrenaline