Racemic Epinephrine Flashcards

1
Q

Generic name

A

Racemic epinephrine

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2
Q

Trade name

A

Vaponefrin

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3
Q

Class

A

Sympathomimetic

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4
Q

Mechanism of action

A

Chemical isomer of epinephrine that stimulates both A and B receptors with a slight preference for B2 to cause bronchodilation.

Relives subglottic edema associated with croup

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5
Q

Indications

A

Croup
Laryngeal edema

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6
Q

Contraindications

A

Hypertension
Epiglottitis
Significant cardiovascular disease

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7
Q

Side effects / adverse reactions

A

Tachycardia
Hypertension
Dysrhythmia
Headache
Nausea/vomiting
Syncope
Increased myocardial oxygen demand

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8
Q

adult dose

A

n/a

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9
Q

pediatric dose

A

0.25-0.75 of 2.25% solution in total of 3ml via small volume nebulizer

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10
Q

duration of action

A

onset 5 minutes
peak 5-15 minutes
duration 1-3 hours

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