Epinepherine Hydrochloride

Card Set Information

Author:
bryantfire
ID:
230312
Filename:
Epinepherine Hydrochloride
Updated:
2013-08-17 23:12:58
Tags:
Drugs UAV Paramedic
Folders:

Description:
Drug Drill
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user bryantfire on FreezingBlue Flashcards. What would you like to do?


  1. Epinepherine
         Classification
    • Sypathomimetic agent (catecholimine)
    • Bronchodilator
  2. Epinepherine
         Actions
    Increases cardiac output due to increased inotropy, chronotropy and AV conduction

    Increases sytolic BP due to increased cardiac output and vasoconstriction

    Alleviates wheezing and dyspnea by relaxing smooth muscles of the respiratory tract

    Increases coronary perfusion during CPR due to increased aortic diastolic pressure

    Prevents hypotension and loss of intravascular fluid in anaphylactic reactions by counteracting vasodilation and decreasing vascular permeability
  3. Epinepherine
         Indications
    • Cardiopulmonary arrest:
    •      Ventricular Fibrillation
    •      Pulseless VT
    •      Pulseless Electrical Activity (PEA)
    •      Asystole
    • Acute Asthma
    • Allergic reaction/Anaphylaxis
    • Symptomatic bradycardia
  4. Epinepherine
         Contraindications
    • Hypovolemia
    • Hypertension
  5. Epinepherine
         Adverse Effects
    • Cardiovascular
    • Tachycardia
    • Hypertension
    • Chest Pain
    • Ventricular Fibrillation

    • Neurological
    • Seizures
    • Dizziness
    • Headache
    • Anxiety

    • GI
    • Nausea
    • Vomiting
  6. Epinepherine
         Administration
    • Cardiac Arrest:
    •      1mg (1:10,000) IV/IO
    •      May rpt IV/IO every 3-5 mins

    • Bradycardia
    •      4mg (1:10,000) in 500cc NS 2-8 mcg/min
    •      Titrate to effect.

    • Asthma/Allergic reaction w/o shock
    •      0.3mg (1:1,000) SQ.
    •      May repeat every 20 mins (2x)

    • Anapylaxis with shock
    •      0.5-1mg (1:10,000) slow IV/IO over 60
    •         secs or 0.3mg SQ (1:1,000).
    •      May rpt IV/IO dose every 3-5 mins
    •      May rpt SQ dose every 20 mins (2x)
  7. Epinepherine
         Pediatrics
    • Cardiac Arrest
    •      0.01mg/kg (1:10,000) IV/IO
    •      May rpt 0.01mg/kg (1:10,000) every
    •           3-5 mins as needed

    • Asthma/Allergic reaction w/o shock
    •      0.01mg/kg (1:1,000) SQ
    •      Max single dose 0.3mg)
    •      May rpt every 20 mins (2x)

    • Anaphylaxis with shock
    •      0.01mg/kg (1:10,000) slow IV/IO
    •      May rpt every 10-15 mins
  8. Epinepherine
         Onset
    • IV/IO: 1-2 mins
    • SQ:     3-10 mins
  9. Epinepherine
         Duration
    • IV/IO: 5-10 mins
    • SQ:     20-30 mins
  10. Epinepherine
         Precautions
    • Flush IV tubing before and after administration
    •      of Sodium Bicarbonate or establish a second
    •      venous access site.
    • Epinepherine is inactivated by Sodium Bicarb.

What would you like to do?

Home > Flashcards > Print Preview