Epinephrine

Question 1

Epinephrine Class

Answer 1

Sympathomimetic, Catecholamine, Vasopressor

Question 2

Epinephrine MOA

Answer 2

Increases cardiac output and BP by increasing inotropy, chronotropy, and dromotropy. (beta1)
Vasoconstriction; increases systolic BP (alpha1)
Relaxes smooth muscles in the respiratory tract, dilating the bronchioles (beta2)
Increasing coronary perfusion during CPR by increasing aortic diastolic pressure (from vasoconstriction)

Question 3

Epinephrine Indications (5)

Answer 3

Shock unrelated to trauma
Cardiac arrest
Respiratory distress
Anaphylaxis
Symptomatic bradycardia (Peds)

Question 4

Epinephrine Contraindications

Answer 4

None

Question 5

Epinephrine Adult Cardiac Arrest Dose

Answer 5

1mg (1:10,000) IVP + 4 repeats

Question 6

Epinephrine Peds Symptomatic Bradycardia Dose

Answer 6

BHO 0.01 mg/kg (1:10,000) IVP max 1mg

Question 7

Epinephrine Pregnancy Class

Answer 7

C (harmful to animals, untested in humans)

Question 8

Epinephrine Adult Respiratory Distress Dose

Answer 8

BHO 0.3mg (1:1,000) IM

Question 9

Epinephrine Adult Anaphylaxis Dose

Answer 9

0.3mg (1:1,000) IM

Question 10

Epinephrine Adult Push Dose

Answer 10

0.1mL (1:100,000) IVP PRN q1-5min

Question 11

Epinephrine Peds Cardiac Arrest Dose

Answer 11

0.01mg/kg (1:10,000) IVP max 1mg + 4 repeats

Question 12

Epinephrine Peds Anaphylaxis Dose

Answer 12

0.01mg/kg (1:1,000) IM

Question 13

Epinephrine Peds Push Dose

Answer 13

0.001mL (1:100,000) IVP PRN