Racemic epinephrine

Question 1

Racemic epinephrine Trade Name?

Answer 1

Vaponefrin, Micronefrin

Question 2

Racemic epinephrine Indications?

Answer 2

Bronchiolitis, Croup

Question 3

Racemic epinephrine Contraindications?

Answer 3

Hypersensitivity Hypertension, Epiglottitis, Significant cardiovascular disease

Question 4

Racemic epinephrine Adult Dose?

Answer 4

Not typically used for adults.

Question 5

Racemic epinephrine Pediatric Dose?

Answer 5

CT Protocols:
BRONCHIOLITIS
For patients who do not respond to suctioning or for impending respiratory failure, consider: Nebulized racemic epinephrine 0.5 ml of 2.25% (11.25mg) with 3 mL 0.9% NaCl OR Nebulized epinephrine, 5 mg of 1mg/ml (1:1,000).
CROUP
Dexamethasone 0.6 mg/kg by mouth or IM/IV/IO (by mouth preferred) maximum 10mg Croup with stridor at rest, OR
Nebulized racemic epinephrine 0.5 ml of 2.25% (11.25mg) w/ 3 mL 0.9% NaCl OR
Nebulized epinephrine, 5 mg of 1mg/ml (1:1,000). [* HIGH-RISK AGP*]

Question 6

Racemic epinephrine Max Dose Adult/Pediatric?

Answer 6

12 inhalations in a 24 hour period.