Epinephrine (Adrenalin)

Question 1

Therapeutic Effects of Epi

Answer 1

Restore electric activity in asystole, increase myocardial contractility, decrease threshold for defib, cause vasoconstriction, increase perfusion pressure, anaphylaxis, helps maintain blood pressure

Question 2

Indications for Epi

Answer 2

Restore electric activity during cardiac arrest, treat life threatening symptoms of anaphylaxis, treat acute attacks of asthma

Question 3

Contraindications for Epi

Answer 3

Use with caution in pt with angina, htn, hyperthyroidism, none in situation of cardiac arrest or anaphylactic shock

Question 4

Side Effects of Epi

Answer 4

Palpitations or elevation of BP in conscious pts, asthmatics with heart disease may have dysrhythmias.

Question 5

Adult Cardiac Arrest Dose

Answer 5

Initial: 1mg (10ml of 1:10,000) IVP Second: 1mg (10ml of 1:10,000) or 3mg (3ml of 1:1000) Third and After: 5mg (5ml of 1:1000) ET dose: 2mg (1:1000) diluted with 10ml NS

Question 6

Adult Anaphylactic Dose

Answer 6

Mild: .3mg IM (.3ml of 1:1000) Another .3ml SQ can be given in different extremity. Severe: .5mg slow IVP (5ml 1:10000)

Question 7

Adult Asthmatic Dose

Answer 7

.3-.5ml of 1:1000 SQ

Question 8

Pediatric Bradycardia Dose

Answer 8

.01mg/kg 1:10000 Q3min

Question 9

Pediatric Cardiac Arrest Dose

Answer 9

Initial: .01mg/kg (1:10000) IVP or IO push Second & After: .1mg/kg (1:1000) IVP or IO push ET: .1mg/kg (1:1000 diluted in 2ml NS)

Question 10

Newborn Cardiac Arrest Dose

Answer 10

.02mg/kg (1:10000) Q5min IV or IO

Question 11

Pediatric Allergic Reaction/Asthma Dose

Answer 11

.01mg/kg (1:1000) SQ mas .3mg. IF no response & IV in place, .1mg/kg (1:10000) IVP

Question 12

Restore electric activity in asystole, increase myocardial contractility, decrease threshold for defib, cause vasoconstriction, increase perfusion pressure, anaphylaxis, helps maintain blood pressure

Answer 12

Therapeutic Effects of Epi

Question 13

Restore electric activity during cardiac arrest, treat life threatening symptoms of anaphylaxis, treat acute attacks of asthma

Answer 13

Indications for Epi

Question 14

Use with caution in pt with angina, htn, hyperthyroidism, none in situation of cardiac arrest or anaphylactic shock

Answer 14

Contraindications for Epi

Question 15

Palpitations or elevation of BP in conscious pts, asthmatics with heart disease may have dysrhythmias.

Answer 15

Side Effects of Epi

Question 16

Initial: 1mg (10ml of 1:10,000) IVP Second: 1mg (10ml of 1:10,000) or 3mg (3ml of 1:1000) Third and After: 5mg (5ml of 1:1000) ET dose: 2mg (1:1000) diluted with 10ml NS

Answer 16

Adult Cardiac Arrest Dose

Question 17

Mild: .3mg IM (.3ml of 1:1000) Another .3ml SQ can be given in different extremity. Severe: .5mg slow IVP (5ml 1:10000)

Answer 17

Adult Anaphylactic Dose

Question 18

.3-.5ml of 1:1000 SQ

Answer 18

Adult Asthmatic Dose

Question 19

.01mg/kg 1:10000 Q3min

Answer 19

Pediatric Bradycardia Dose

Question 20

Initial: .01mg/kg (1:10000) IVP or IO push Second & After: .1mg/kg (1:1000) IVP or IO push ET: .1mg/kg (1:1000 diluted in 2ml NS)

Answer 20

Pediatric Cardiac Arrest Dose

Question 21

.02mg/kg (1:10000) Q5min IV or IO

Answer 21

Newborn Cardiac Arrest Dose

Question 22

.01mg/kg (1:1000) SQ mas .3mg. IF no response & IV in place, .1mg/kg (1:10000) IVP

Answer 22

Pediatric Allergic Reaction/Asthma Dose

Question 23

Adult Dose in Cardiac Arrest

Answer 23

Initial: 1mg (10ml of1:10,000 solution)IVP Second: 1mg (10ml of 1:10,000) or 3mg (3ml of 1:1000)IVP Third &subsequent:5mg (5ml of 1:1000)IVP ET: 2mg (1:1000) diluted w/ 10ml NS

Question 24

Adult Dose in Anaphylactic Reactions

Answer 24

Mild: .3 mg IM (.3ml of 1:1000) and another .3ml SQ can be given on another extremity Severe: .5mg slow IV (5ml of 1:10000)

Question 25

Adult Dose in Asthma Attacks

Answer 25

.3-.5 ml of a 1:1000 solution SQ

Question 26

Pedi Dose for Bradycardia

Answer 26

.01 mg/kg 1:10,000 q3min

Question 27

Pedi Dose in Cardiac Arrest

Answer 27

Initial: .01mg/kg 1:10,000 IVP or IOpush Second &subsequent: .1 mg/kg 1:1000 IVP or IO push ET: .1 mg/kg 1:1000 diluted with 2ml NS Newborn: .02mg/kg 1:10000 q5min IV,IO

Question 28

Pedi Dose in Allergic Reaction/Asthma

Answer 28

.01mg/kg 1:1000 SQ max .3mg No response and IV in place, 0.1mg/kg 1:10000IVP