EPINEPHRINE (ADRENALIN)

Question 1

CLASS

Answer 1

• SYMPATHOMIMETIC
• ALPHA AND BETA ADRENEGIC (AGONIST)
• ENDOGENOUS CATECHOLAMINE

Question 2

ACTIONS

Answer 2

• CAUSES POSITIVE INOTROPIC, CHRONOTROPIC, AND DROMOTROPIC EFFECTS (BETA EFFECTS)
• PERIPHERAL VASOCONSTRICTION (ALPHA EFFECTS) WHICH INCREASES THE CORONARY PERFUSION PRESSURE.
• BRONCHIAL DILATION

Question 3

INDICATIONS

Answer 3

• ACLS- REFER TO TX ALGORITHM (ASYSTOLE, V-FIB, PEA, SYMPTOMATIC BRADYCARDIA)
• BRONCHOSPASM, ASTHMA
• ANAPHYLAXIS- TO RELIEVE BRONCHOSTRICTION AND PREVENT DEGRANULATION OF MAST CELLS.

Question 4

DOSE/ ROUTE

Answer 4

• SEE HAWAII SO AND ACLS ALGORITHM

Question 5

PEDS DOSE

Answer 5

• SEE HAWAII SO AND PALS ALGORITHM

Question 6

STANDARD PREP

Answer 6

• 1 mg/10 cc preloaded syringe 1:10,000
• 1 mg/cc tubes 1:1000
• 30 mg/30 cc multi dose vial

Question 7

CONTRAINDICATIONS

Answer 7

• HYPERSENSITIVITY
• HYPOVOLEMIC SHOCK
• CORONARY INSUFFIENCY
• HYPERTENSION

Question 8

SIDE EFFECTS

Answer 8

• NERVOUSNESS
• ANXIETY
• TREMOR
• TACHYCARDIA
• HA
• N/V
• HYPERTENSION
• ARRYTHMIAS
• DILATED PUPILS

Question 9

PRECAUTIONS

Answer 9

• INACTIVATED IN ALKALINE SOLUTION
• MAY INCREASE MYOCARDIAL OXYGEN DEMAND AS A RESULT OF TACHYCARDIA.
• DO NOT GIVE SC FOR ANAPHYLAXIS IF SKIN OF PT. IS PALE, COLD, DIAPHORETIC
• IN CODE RESUSCITATION, AC IV PREFERRED AND AFTER EACH IV DRUG ADMINISTRATION, IMMEDIATELY FOLLOW WITH A 20-30 CC BOLUS OF IV FLUID AND ELEVATE ARM IF POSSIBLE IN THE FIELD.
• INFORM RN OF IV INFILTRATION BECAUSE CAN CAUSE TISSUE SLOUGHING- NEED PHENTOLAMINE TO COUNTERACT