Quiz 5: Epinephrine 1:10000, Epinephrine 1:1000, and Ondansetron Flashcards
Epinephrine (1:10000): Brand Name
Epinephrine cardiac
Epinephrine (1:10000): Classification
Sympathomimetic
Epinephrine (1:10000): Pharmacokinetics
Effects: 5 min
Duration: 20-30 min
Epinephrine (1:10000): Mechanism of Action
Alpha 1 = Vasoconstriction
Beta 2 = Bronchodilation
Beta 1 = Decreases capillary permeability
Epinephrine (1:10000): Indications of Field Use
Cardiac arrest
Epinephrine (1:10000): Contraindications
No absolute contraindications
Epinephrine (1:10000): Side/Adverse Effects
Dizziness, weakness, shaking, HA, restlessness, anxiety
Epinephrine (1:10000): Routes of Administration
IV, IO
Epinephrine (1:10000): How Supplied
1mg/10mL in prefilled syringe
Epinephrine (1:10000): Dosages
Adult: 1mg of 1:10000 solution
Pedi: NONE in VTEMS
Epinephrine (1:1000): Brand Name
Ana-Kit, Epi-Pen
Epinephrine (1:10000): Special Considerations
Repeat dose every 2 rounds of compressions (3-5 minutes) until ROSC
Epinephrine (1:1000): Classification
Sympathomimetic
Epinephrine (1:1000): Pharmacokinetics
Effects: 1 min
Duration: 30 min
Epinephrine (1:1000): Mechanism of Action
Alpha 1 = Vasoconstriction
Beta 2 = Bronchodilation
Beta 1 = Decreases capillary permeability
Epinephrine (1:1000): Indications for Field Use
Anaphylaxis
Epinephrine (1:1000): Contraindications
In the setting of true anaphylaxis, none
Epinephrine (1:1000): Side/Adverse Effects
HA, anxiety, palpitations, N/V, hypertension, sweating, pallor, tachycardia, ventricular arrhythmias
Epinephrine (1:1000): Routes of Administration
IM
Epinephrine (1:1000): How Supplied
1mg/1mL in vials, ampules, or prefilled auto injector devices
Epinephrine (1:1000): Dosages
Adult: 0.3-0.5mg of 1:1000 solution
Pedi: 0.01 mg/kg of 1:1000 (max does 0.4mg)
Epinephrine (1:1000): Special Considerations
NONE
Ondansetron: Brand Name
Zofran ODT
Ondansetron: Classification
Antiemetic
Ondansetron: Pharmacokinetics
Effects: 15-30 minutes
Duration: 2 hours
Ondansetron: Mechanism of Action
Blocks serotonin, both peripherally on vagal nerve terminals and centrally in the chemoreceptor
Ondansetron: Indications for Field Use
Nausea
Ondansetron: Contraindications
Known hypersensitivity
Ondansetron: Side/Adverse Effects
HA, diarrhea, anxiety, fatigue
Ondansetron: Routes of Administration
Oral Dissolving
Ondansetron: How Supplied
Pill form
Ondansetron: Dosages
Adult: 4mg
Pedi: NONE
Ondansetron: Special Considerations
NONE