Racemic Epinephrine

Question 0

Racemic Epinephrine Mechanism of action

Answer 0

Marked stimulation of alpha, beta-1 and beta-2 receptors leading to bronchodilation and decongestion

Question 1

Racemic Epinephrine Classification

Answer 1

Adrenergic Agent

Bronchodilator

Question 2

Racemic Epinephrine Indications

Answer 2

1. Acute Bronchial Asthma
2. Bronchospasms due to emphysema, chronic bronchitis or other COPD
3. Croup

Question 3

Racemic Epinephrine Contraindications

Answer 3

1. Epiglottitis
2. Narrow angle glaucoma
3. Use caution with patients who are hypertensive or tachycardic

Question 4

Racemic Epinephrine side effects

Answer 4

CNS: restlessness, tremors, anxiety, dizziness, headache
Cardio: tachycardia, hypertension, palpitations, angina, dysthymias
Respiratory: bronchial edema/inflammation, paradoxical bronchospasms

Question 5

Racemic epinephrine routes/dosages

Answer 5

Route: HHN; can be prescribed as a metered dose inhailer

Adult and pediatric dose: 0.25-0.75ml of 2.25% Racemic epinephrine solution diluted in 3 ml NS every 1-4 hours