Epinephrine

Card Set Information

Author:
Rodonnell
ID:
75341
Filename:
Epinephrine
Updated:
2011-03-26 16:12:01
Tags:
Epinephrine
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Description:
Paramedic drugs
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  1. Class:
    Sympathomimetic
  2. Description:
    Naturally occurring catecholamine. Potent Alpha and Beta adrenergic stimulant. Effects on Beta receptors is more profound
  3. Mechanism of Action
    • Increases all of the follows: HR, automaticity, cardiac contractile force, myocardial electrical activity, systemic vascular resistance, BP.
    • Bronchodilation
  4. Onset of Action
    • Onset: <2 minutes (IV/ET)
    • Peak: <5 minutes (IV/ET)
    • Duration: 5-10 minutes (IV/ET)
    • Half-Life: 5 minutes
  5. Indications:
    Cardiac arrest, anaphylactic shock, serve reactive airway disease, Bronchial asthma, exacerbation of COPD, allergic reactions
  6. Contraindications:
    • Epi 1:10,000 is for IV/ET use for pt requiring extensive resuscitative efforts
    • Epi 1:1,000- Underlying cardiovascular disease, HTN, pregnancy, tachydysrhythmias
  7. Precautions
    • Should be protected from light
    • Epi 1:10,000- Can be deactivated with alkaline solutions
    • Epi 1:1,000- Monitor HR, BP, ECG
  8. Side Effects
    • Anxiety,
    • Headache
    • Nausea and Vomiting
    • Palpitations
    • Taacycardia
    • Tremulousness
  9. Adult Dose:
    • Cardiac Arrest- 1mg/10ml IVP of Epi 1:10,000
    • Allergic Reaction- .3mg IM/SQ Epi 1:1,000
    • Anaphylaxis- 1mg/10ml IVP of Epi 1:10,000
    • Wheezing secondary to Asthma- .3mg SQ of Epi 1:1,000
  10. Pedi-Dose:
    .01 mg/kg up to .3mg
  11. Max Dose:
    There is no max does for cardiac arrest
  12. Routes of Administration
    IV/IO ET IM/SQ
  13. How Supplied
    • 1:1,000: 1mg/ml
    • 1:10,000: 1mg/10ml

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