Epinephrine (Adrenalin) Flashcards
Therapeutic Effects of Epi
Restore electric activity in asystole, increase myocardial contractility, decrease threshold for defib, cause vasoconstriction, increase perfusion pressure, anaphylaxis, helps maintain blood pressure
Indications for Epi
Restore electric activity during cardiac arrest, treat life threatening symptoms of anaphylaxis, treat acute attacks of asthma
Contraindications for Epi
Use with caution in pt with angina, htn, hyperthyroidism, none in situation of cardiac arrest or anaphylactic shock
Side Effects of Epi
Palpitations or elevation of BP in conscious pts, asthmatics with heart disease may have dysrhythmias.
Adult Cardiac Arrest Dose
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
Adult Anaphylactic Dose
Mild: .3mg IM (.3ml of 1:1000) Another .3ml SQ can be given in different extremity. Severe: .5mg slow IVP (5ml 1:10000)
Adult Asthmatic Dose
.3-.5ml of 1:1000 SQ
Pediatric Bradycardia Dose
.01mg/kg 1:10000 Q3min
Pediatric Cardiac Arrest Dose
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)
Newborn Cardiac Arrest Dose
.02mg/kg (1:10000) Q5min IV or IO
Pediatric Allergic Reaction/Asthma Dose
.01mg/kg (1:1000) SQ mas .3mg. IF no response & IV in place, .1mg/kg (1:10000) IVP
Restore electric activity in asystole, increase myocardial contractility, decrease threshold for defib, cause vasoconstriction, increase perfusion pressure, anaphylaxis, helps maintain blood pressure
Therapeutic Effects of Epi
Restore electric activity during cardiac arrest, treat life threatening symptoms of anaphylaxis, treat acute attacks of asthma
Indications for Epi
Use with caution in pt with angina, htn, hyperthyroidism, none in situation of cardiac arrest or anaphylactic shock
Contraindications for Epi
Palpitations or elevation of BP in conscious pts, asthmatics with heart disease may have dysrhythmias.
Side Effects of Epi
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
Adult Cardiac Arrest Dose
Mild: .3mg IM (.3ml of 1:1000) Another .3ml SQ can be given in different extremity. Severe: .5mg slow IVP (5ml 1:10000)
Adult Anaphylactic Dose
.3-.5ml of 1:1000 SQ
Adult Asthmatic Dose
.01mg/kg 1:10000 Q3min
Pediatric Bradycardia Dose
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)
Pediatric Cardiac Arrest Dose
.02mg/kg (1:10000) Q5min IV or IO
Newborn Cardiac Arrest Dose
.01mg/kg (1:1000) SQ mas .3mg. IF no response & IV in place, .1mg/kg (1:10000) IVP
Pediatric Allergic Reaction/Asthma Dose
Adult Dose in Cardiac Arrest
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
Adult Dose in Anaphylactic Reactions
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)
Adult Dose in Asthma Attacks
.3-.5 ml of a 1:1000 solution SQ
Pedi Dose for Bradycardia
.01 mg/kg 1:10,000 q3min
Pedi Dose in Cardiac Arrest
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
Pedi Dose in Allergic Reaction/Asthma
.01mg/kg 1:1000 SQ max .3mg No response and IV in place, 0.1mg/kg 1:10000IVP
