Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medications > Epinephrine > Flashcards

Epinephrine Flashcards

1
Q

Epinephrine:
Classification -
1. ___

A

Epinephrine
Classification -
1. Beta adrenergic and alpha stimulator.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q 
Epinephrine: 
Action - 
1. \_\_\_ 
     a. \_\_\_ 
     b. \_\_\_ 
     c. \_\_\_ 
     d. \_\_\_ 
     e. \_\_\_ 
     f. \_\_\_
A

Epinephrine
Action -
1. Alpha and beta adrenergic effects.
a. Increases force of myocardial contraction.
b. Increases pulse rate and systolic blood pressure.
c. Increases conduciton velocity through the A-V
node.
d. Increases irritability of ventricles.
e. Dilates bronchi and coronary arteries.
f. Increases cerebral blood flow (alpha effects).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q 
Epinephrine: 
Onset of Action - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_ 
5. \_\_\_
A 
Epinephrine
Onset of Action - 
1. IV/ET/IO: Immediate. 
2. Push-dose IV: 1 minute. 
3. IM: Variable 
4. Inhalation: 3-5 minutes. 
5. SQ: 6-15 minutes.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q 
Epinephrine: 
Duration of Action - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_ 
5. \_\_\_
A 
Epinephrine
Duration of Action - 
1. IV/ET/IO: 1-4 hours. 
2. Push-dose IV: 2-5 minutes. 
3. IM: Varies. 
4. Inhalation: 1-3 hours. 
5. SQ: Varies.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q 
Epinephrine: 
Indication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_ 
4. \_\_\_ 
5. \_\_\_ 
6. \_\_\_ 
7. \_\_\_ 
8. \_\_\_
A 
Epinephrine
Indication - 
1. Cardiac arrest: VF, pulseless VT, asystole, PEA. 
2. Anaphylactic shock. 
3. Allergic reactions. 
4. Status asthmaticus. 
5. Bradycardia unresponsive to atropine, TCP, dopamine. 
6. Croup. 
7. Upper airway obstruciton edema. 
8. Hypotension.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q 
Epinephrine: 
Contraindication - 
1. \_\_\_ 
2. \_\_\_ 
3. \_\_\_
A

Epinephrine
Contraindication -
1. Chest pain accompanied by ectopic beats or tachycardia.
2. Do not mix with sodium bicarbonate.
3. Do not use to treat VT secondary to cocaine, or hydrocarbon overdose.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Epinephrine:
Use with Caution -
1. ___
2. ___

A

Epinephrine
Use with Caution -
1. Bronchial asthma and significant emphysema, when patients may also have congestive heart disease.
2. Raising BP and P may cause myocardial ischemia, angina, and increase O2 demand.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q 
Epinephrine: 
Dosage and Administration - 
(1:10,000 = _(concentration)_; 1:1,000 = _(concentration)_) 
1. Adult: 
     a. Cardiac Arrest:
          i. IV/IO: \_\_\_ 
          ii. ET: \_\_\_
A

Epinephrine
Dosage and Administration -
(1:10,000 = 0.1 mg/mL; 1:1,000 = 1 mg/mL)
1. Adult:
a. Cardiac Arrest:
i. IV/IO: 1 mg (10 mL of 1:10,000) every 3-5
minutes; follow with 20 mL NS flush and
elevate arm for 10-20 seconds after dose.
ii. ET: 2-2.5 mg of 1:1,000 mixed with 10 mL NS.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q 
Epinephrine: 
Dosage and Administration - 
1. Adult: 
     b. Profound Bradycardia or Hypotension: 
          i. Push-dose IV: \_\_\_ 
          ii. Infusion IV: \_\_\_
A

Epinephrine:
Dosage and Administration -
1. Adult:
b. Profound Bradycardia or Hypotension:
i. Push-dose IV: Mix 1 mL of 1:10,000 epi with 9
mL NS in a 10 mL syringe (10 mcg/mL) and
administer 0.5-2 mL of push-dose epi eery 2-5
minutes; or
ii. Infusion IV: Infusion IV: Mix 1 mg in 250 mL NS;
administer at 2-10 mcg/minute (om5 mL-2.5
mL), titrating to effect.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Epinephrine:
Dosage and Administration -
1. Adult:
a. Allergic reaction: ___

A

Epinephrine:
Dosage and Administration -
1. Adult:
a. Allergic reaction: 0.3-0.5 mg 1:1,000 IM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q 
Epinephrine: 
Dosage and Administration - 
1. Adult:
     a. Anaphylactic shock:
          i. IM: \_\_\_
          ii. IV/IO: \_\_\_
          iii. ET: \_\_\_
A

Epinephrine:
Dosage and Administration -
1. Adult:
a. Anaphylactic shock:
i. IM: 0.3-0.5 mg 1:1,000
ii. IV/IO: 0.5 mg (5 mL of 1:10,000)
iii. ET: 2-2.5 mg of 1:1,000 mixed with 10 mL NS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Epinephrine:
Dosage and Administration -
1. Adult:
a. Asthma: ___

A 
Epinephrine: 
Dosage and Administration - 
1. Adult:
     a. Asthma: 0.3 mg of a 1:1,000 IM; may repeat in 20 
         minutes if necessary.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q 
Epinephrine: 
Dosage and Administration - 
1. Adult:
     a. Upper airway edema due to obstruction:
          i. IM: \_\_\_
          ii. IV: \_\_\_
A 
Epinephrine: 
Dosage and Administration - 
1. Adult:
     a. Upper airway edema due to obstruction:
          i. IM: 0.3 mg of a 1:1,000
          ii. IV: 0.3 mg of a 1:10,000
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q 
Epinephrine: 
Dosage and Administration -
1. Pediatric:
     a. Croup: _(concentration)_
          i. \_\_\_
          ii. \_\_\_
A

Epinephrine:
Dosage and Administration -
1. Pediatric:
a. Croup: 1:1,000
i. 2 mL (undiluted) given blow-by < 6 years old
ii. 3 mL (undiluted) given blow-by >= 6 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q 
Epinephrine: 
Dosage and Administration -
1. Pediatric:
     a. Cardiac Arrest/Bradycardia/Anaphylaxis: 
          i. IV/IO: \_\_\_
          ii. ET: \_\_\_
A

Epinephrine:
Dosage and Administration -
1. Pediatric:
a. Cardiac arrest/Bradycardia/Anaphylaxis:
i. IV/IO: 0.01 mg/kg of 1:10,000 solution
(0.1 mL = 0.01 mg of 1:10,000 solution, maximum
dose 1 mg)
ii. ET: 0.1 mg/kg (1:1,000 0.1 mL/kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q 
Epinephrine: 
Dosage and Administration -
1. Pediatric:
     a. Anaphylactic shock: 
          i. IM:
               a) \_\_\_ for pediatric patients >= 
                   66 lbs
               b) \_\_\_ for pediatric patients < 66 lbs
          ii. IV/IO: \_\_\_
          Iii. ET: \_\_\_
A

Epinephrine:
Dosage and Administration -
1. Pediatric:
a. Anaphylactic shock:
i. IM:
a) 1:1,000 0.3-0.5 mg for pediatric patients >=
66 lbs
b) 1:1000 0.15 mg for pediatric patients < 66 lbs
ii. IV/IO: 1:10,000 0.3 mg
iii. ET: use 0.1 mg/kg (1:1,000 0.1 mL/kg)

17
Q

Epinephrine:
Dosage and Administration -
1. Pediatric:
a. Allergic reaction/Asthma: ___

A

Epinephrine:
Dosage and Administration -
1. Pediatric:
a. Allergic reaction/Asthma: 0.01 mg/kg to maximum
of 0.3 mg IM (0.01 mg = 0.01 mL of 1:1,000)

18
Q 
Epinephrine: 
Dosage and Administration -
1. Pediatric:
     a. Upper airway edema due to obstruction:
          i. IM: \_\_\_.
          ii. IV/IO: \_\_\_.
A

Epinephrine:
Dosage and Administration -
1. Pediatric:
a. Upper airway edema due to obstruction:
i. IM: 1:1,000 0.01 mg/kg up to 0.3 mg.
ii. IV/IO: 1:10,000 0.01 mg/kg up to 0.3 mg.

19
Q

Epinephrine
Adverse Reaction -
1. (list of seven)

A

Epinephrine
Adverse Reaction -
1. Myocardial Infarction, Hypertension, Supraventricular tachycardia, Ventricular arrhythmias (Premature ventricular contraction, Ventricular tachycardia, Ventricular fibrillation).

Medications (31 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions