EPINEPHRINE (ADRENALINE)

Question 1

EPINEPHRINE (ADRENALINE)

Class?

Answer 1

• Sympathomimetic

Question 2

EPINEPHRINE (ADRENALINE)

Indications?

Answer 2

• Bronchospams (unresponsive to albuterol)
• Severe bronchospasm
• Anaphylaxis

Question 3

EPINEPHRINE (ADRENALINE)

Contraindications?

Answer 3

• None when indicated

Question 4

EPINEPHRINE (ADRENALINE)

Drug Interaction?

Answer 4

• Reduced effects with Beta-adrenergic blocker

Question 5

EPINEPHRINE (ADRENALINE)

Administration?

Answer 5

• Bronchospasm/Anaphylaxis
  
  • Adult: [0.3 mg] (1:1000) SQ or IM using a pre-filled device or 0.3 mg syringe
  • Pediatric: [0.01 mg/kg] (1:1000) SQ to a maximum dose of 0.3 mg/dose

Question 6

EPINEPHRINE (ADRENALINE)

Special Notes?

Answer 6

• when used for allergic reactions, increased cardiac workload can precipitate angina and/or AMI in susceptible patients
• Due to peripheral vasoconstriction, it should e used with caution on patients with peripheral vascular insufficiency
• Wheezing in an elderly person is pulmonary edema or pulmonary embolus until proven otherwise