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ccs1471
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Epinephrine 1:10000 Class
Sympathomimetic
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Epinephrine 1:10000 Actions
- 1. Alpha: vasoconstriction- improves coronary blood flow and supports blood pressure in anaphylactic shock
- 2. Beta 1: a) chrontropic effects b) lowers defibrillation threshold c) inotropic effects: increase myocardial contractility
- 3. Beta 2: bronchodilation
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Epinephrine 1:10000 Indications
- 1. Cardiac Arrest: VF, VT (pulseless), asystole, and PEA (EMD)
- 2. Anaphylactic Shock
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Epinephrine 1:10000 Contraindications
None when indications are present
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Epinephrine 1:10000 Precautions
- 1. protect medication from light
- 2. can be deactivated by alkaline solutions
- 3. when given to patients taking Beta blockers can cause severe hypertension and reflex bradycardia
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Epinephrine 1:10000 Side Effects
- 1. Tachyarrhythmias
- 2. Palpitations
- 3. Hypertension
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Epinephrine 1:10000 Dosage
Cardiac Arrest: .5-1mg every 3-5 minutes
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Epinephrine 1:10000 Route
IV, ET (doubled dose)
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Epinephrine 1:10000 How Supplied
Prefilled syringe: 1mg in 10ml
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Epinephrine 1:10000 Pediatric Dosage
- .01 mg / kg every 5 minutes IV/IO
- No ET Admin for Pediatrics
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