IN Adrenaline Flashcards
1
Q
Preparation
A
1mg/1ml ampoule drawn up
Diluted with saline to 10ml
Solution is 1:10,000
0.1mg/ml
2
Q
Pharmacokinetics
A
Metabolised by liver
Taken up by nerve endings
3
Q
Indications
A
Mild epistaxis: if bleeding does not stop after 15 mins of direct pressure to flesh part of nose
Mod-severe epistaxis
4
Q
Contraindications
A
None
5
Q
Cautions
A
“TM”
Tachydsyrhythmias
Myocardial ischemia
6
Q
Action
A
Agonist of adrengic receptors particularly a1, b1 and b2.
7
Q
Route
A
Intranasal via a mucosal atomising device
8
Q
Repeat
A
After 20 mins of bleeding has not stopped or reoccurs
9
Q
Dose
A
Pt
20-40kg: 0.1mg per bleeding nostril
50kg or more: 0.2mg per bleeding nostril
10
Q
Side effects
A
“VITAMNS” Ventricular ectopy Increased HR, BP, BGL Tachydsyrhythmias and Tremor Anxiety Myocardial ischemia Nausea and Vomiting Sweating
