Vasoactive Meds Flashcards
1
Q
Epinephrine Indications Dose Metabolism Duration Comments
A
1) cardiac arrest 2) bronchospasm/anaphylaxis 3) heart failure/hypotension 4) severe bradycardia
Dose: 4mg in 250 (16mcg/ml)
1) 1mg q3-5min, infusion 0.1-0.5 mcg/kg/min post arrest
2) 0.1-0.25mg IV slow bolus
3) 5-10 mcg bolus, infusion 0.02-0.3 mcg/kg/min
4) 10-20mcg, infuse 1-4 mcg/min
Mechanism: a1, B2, B1
Clearance: MAO/COMT
Duration: 5-10min
Comments: beta at low dose, increasing alpha with increased dose, dysrhythmias. May cause increased; lipolysis, glycogenolysis, pulmonary edema, lactate and hyperglycemia. Reduces splanchnic circ
