Epinephrine

Card Set Information

Author:
Tgendron
ID:
77314
Filename:
Epinephrine
Updated:
2011-04-04 15:46:55
Tags:
Epinephrine epi Adrenalin
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Description:
PreHospital emergency medication information
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  1. What Class of drug is Epinephrine?
    Epinephrine is a Sympathomimetic
  2. List the Mechanism of Action for Epinephrine
    • 1) Direct acting Alpha & Beta agonist
    • 2) Alpha- bronchial, Cutanious, Renal, & Visceral arteriolar vasoconstriction
    • 3) Beta 1- Positive intropic & Chronotropic actions increases automaticity
    • 4) Blocks histamine release
  3. List the indications for the use of Epinephrine
    • Indications for Epinephrine:
    • 1) cardiac arrest (Asystole, PEA, VFib, Pulselessness VTach)
    • 2) Severe Bronchospasm
    • 3) Asthuma
    • 4) Broncholitis
    • 5) Anaphylaxis
    • 6) Bradyacardia (in infants and children)
  4. What are the contraindications to using Epinephrine?
    • Contraindications are:
    • 1) Pulmonary edmea
    • 2) Coronary Insufficiency
    • 3) Hypertension
    • 4) Hypothermia
    • 5) Hypovolemic Shock
  5. List the possible adverse reactions when administaring Epinephrine?
    • Adverse reactions could possibly be:
    • 1) Hypertension
    • 2) Dysrythmia
    • 3) Anxiety
    • 4) Pulmonary Edema
    • 5) Psycho motor aggitation
    • 6) Nausea, Angina, Headache, & restlessness
  6. What are possible drug interactions associated with Epinephrine?
    • Possible drug interractions are:
    • 1) Epinephrine other sympathomimetic drugs (make more intense)
    • 2) Epinephrine is deactivated by Alkaline solutions
    • 3) MAOI drugs potentiate Epinephrine
  7. Dosages and Administration of Epinephrine for an ADULT
    • 1) Bronchospasm/respiratory Distress/ Allergic reaction/ anaphylaxis: 0.15 - 0.3 mg (1:1000 concentration) IM autoinjector
    • 2) Cardiac: Asystole/ PEA/ VFib/ Pulsessness VTach: 1 mg (1:10,000 concentration) every (q) 3-5 min
    • 3) Trach admin if IV/IO not available: 2.0-5.0 mg (1:1000 concentration) every (q) 3-5 min in 10 ml of Normal Saline (NS)
    • 4) Bradycardia, Infusion Mix: 1 mg (1:1000 concentration) in 250 ml of Normal saline (NS) this yields 4 mcg/ml, to be run at 2-10 mcg/min
  8. Dosages and Administration of Epinephrine for a PEDI
    • 1) Bronchospasm/ Respiratory/ Allergy/ Anaphylaxis: 0.15 - 0.3 mg (1:1000 concentration) autoinjector
    • 2) Croup: 5ml (1:1000 concentration) via nebulizer over 5 - 15 min
    • 3) Cardica: Asystole/ PEA/ VFib/ Pulslessness VTach: Standard initial dose 0.01 mg/kg (1:10,000 concentration) every (q) 3-5 min
    • 4) Bradycardia: Standard initial dose0.01 mg/kg (1:10,000 concentration) max single dose 0.5 mg
    • 5) Infucion mix: 1 mg (1:1000 concentration) in 250 ml of normal saline (NS), this yields 4 mcg/ml, run at 0.1-1.0 mcg/kg/min

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