racemic epinephrine Flashcards
Trade names for racemic epinephrine
MicroNefrin
S2
Classes for racemic epinephrine
Sympathomimetic
Bronchodilator
Beta2-agonist
Standard supply for racemic epinephrine
Premixed solution in a unit dose
MOA for racemic epinephrine
Beta2-adrenergic response
Relaxes bronchial smooth muscle (bronchodilation)
Indications for racemic epinephrine
Croup
Bronchospasm associated with asthma, chronic bronchitis, and bronchiolitis
Contraindication for racemic epinephrine
None in the emergency setting
Adverse reactions to racemic epinephrine
Tachycardia Hypertension Dysrhythmias Palpitations Nervousness Anxiety Dizziness Tremors Nausea Vomiting
Route of administration for racemic epinephrine
Nebulized for inhalation
Onset/Peak/Duration for racemic epinephrine
O: 5 minutes
P: 5-15 minutes
D: 1-3 hours
Adult dosages for racemic epinephrine
Bronchospasm:
dilute 5 mL (1%) in 5 mL normal saline
Pediatric dosages for racemic epinephrine (4 yrs or younger)
Bronchospasm:
0.25 mL of 2.25% inhalation solution mixed in 3 mL normal saline
or
0.5 mL/kg of 1 mg/1 mL epinephrine (1:1,000) mixed in 3 mL normal saline
Max dose: 2.5 mL
Special considerations for racemic epinephrine
Drug can increase adverse reactions when administered with another sympathomimetic drug
Pediatric dosages for racemic epinephrine (4 yrs or older)
Bronchospasm:
Up to 0.5 mL of 2.25% inhalation solution mixed in 3 mL normal saline
or
0.5 mL/kg of 1 mg/ 1 mL epinephrine (1:1,000) mixed in 3 mL normal saline
Max dose: 5 mL
