Epinephrine (1:10,000)

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Arrest

What is the trade name for Epinephrine?

Adrenalin

What is the category for Epinephrine?

Catecholamine, sympathetic agent, adrenergic

What are the actions for Epinephrine?

Bronchodialation, increase heart rate (+ chronotrope), increase myocardial contractility (+inotrope), increase BP, increase O2 demand of heart, increase myocardial and cerebral blood flow. Helps inhibit release of histamines.

What are the indications for Epinephine?

Anaphylactic shock, cardiac arrest, asthma, cardiogenic shock, bradycardia, hypotension

What are the contraindications for Epinephine?

Extreme tachycardia, angina, hypertension, cardiac history, pregnancy.
**NO CONTRAINDICATIONS IN THE CASE OF SEVERE ANAPHYLAXIS, SEVERE ASTHMA, OR CARDIAC ARREST.

What are the side effects of Epinephine?

Palpitations, hypertension, headache, tachycardia, dysrhythmias, precipitate angina or MI, general alpha and beta effects.

What are the routes of Epinephrine?

IVP, ET, IO, IM

What is the dose for Epinephrine?

ADULT: Cardiac arrest: 1 mg q 3-5 mins IV of 1:10,000 (ET dose 2-2.5 mg)
PEDS: Cardiac arrest & bradycardia: 0.01 mg/kg (max dose 0.5 mg) IV/IO Epi 1:10,000

What are the clinical considerations for Epinephrine?

Monitor patient closely. Precipitates with NaHCO3 (sodium bicarbonate) therefore ensure that IV is flushed after each med. Use caution with hydrocarbon poisoning.

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