EPINEPHRINE (Adrenalin) Flashcards
Epinephrine (Adrenalin)
Name/Class: EPINEPHRINE (Adrenalin)/Sympathomimetic
Description: Epinephrine is a naturally occurring catecholamine that increases heart rate, cardiac contractile force myocardial electrical activity, systemic vascular resistance, 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.
Indications: To restore rhythm in cardiac arrest and severe allergic reactions, COPD, Asthma
Contraindications: Narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock;
Dosage/Route: Arrest: 1 mg of 1:10,000 IV q3 to 5 min (ET: 2 to 2.5 mg 1:1,000).
Pedi: 0.01 mg/kg 1:10,000 IV/IO. All subsequent doses 0.1 mg/kg IV/IO. No max.
Adult Bradycardia (2-5mcg/min) IV Drip mix 1mg/250cc
Allergic reactions: 0.3 of 1:1,000 IM q5 to 15 min as needed or 0.5 to 1 mg of 1:10,000 IV if IM dose ineffective or severe reaction. Consider IV Drip 2-10mcg/min if severe
Pedi: 0.01 mg/kg (Max 0.5) of 1:1,000 IM/10 to 15 min or 0.01 mg/kg of 1:10,000 IV if IM dose ineffective or severe.
Asthma/COPD 0.01mg/kg to max of 0.3mg 1-1,000 SQ
