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3 Cards in this Set

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ADRENALINE

Presentation
Routes
Dose
1:1000
IM, Nebulised, IV in cardiac arrest

0.5mg (0.5ml of 1/1000) may repeat 5-10 minutly if clinically indicared
<6 months 0.05mg in 0.05mls
6 months - 2 yrs 0.1mg in 0.1mls
2 - 5 yrs 0.2mg in 0.2mls
6 - 12 yrs 0.3mg in 0.3mls
Repeted every 5 - 10 min if clinically indicated

Croup = 5mg in 5mls nedulised, only once
Adult Cardiac Arrest- I mg IV every 3 minutes
IV onset 30 sec, peak 3-5min, duration 5-10min
IM onset 30-90 sec, peak in 4-10min, duration 5-10min
ADRENALINE

Pharmacology & Action
A naturally occuring catecholamine-sympathomimetic agent
Stimulates the ALPHA & BETA subdivisions of the synpathetic NS to produce effect
ALPHA stimulation causes peripheral vasoconstriction
BETA 1 stimulation causes increased cardiac contractility & stimulates conducting tissue (SA & AV node)
BETA 2 stimulates bronchodilation & dilation of vessels in muscles
ADRENALINE

1. Presentation
2. Pharmacology & Action
3. Indications
4. Contraindicationa
5. Route of Administration

6. Dose
7. Side Effects
8. Precautions
1:1000, 1.0mg in 1.0 ml ampoule

A naturally occurring catecholamine-sympathomimetic agent
Stimulates the ALPHA & BETA subdivisions of the sympathetic NS to produce effect
ALPHA stimulation causes peripheral vasoconstriction
BETA 1 stimulation causes increased cardiac contractility & stimulates conducting tissue (SA & AV node)
BETA 2 stimulates bronchodilation & dilation of vessels in muscles

Cardiac Arrest including: V, VT, PEA & Asystole
Anaphylactic Shock
Severe Shock
Severe Asthma
Severe Croup

No contraindications

IM- lateral thigh (preferably) or Deltoid
IV-in cardiac arrest
Nebulised- in croup
Adullt Anaphylaxis:
-0.5mg in 0.5 mls (0.5 of 1:1000)
-may repeat 5-10min if clinically indicated

Child Anaphylaxis / Asthma:
< 6 months 0.05mg in .05mls
6 months to 2 yrs 0.1mg in 0.1mls
2 – 5 yrs 0.2mg in 0.2mls
6 – 12 yrs 0.3mg in 0.3mls
-may repeat every 5-10min if clinically indicated

Adult Cardiac Arrest:
-1mg IV every 3minutes

Croup
-5mg / 5mls nebulised, only once

Side Effects:
-Sinus Tachycardia
-Supraventricular Arrhythmias
-Ventricular Arrhythmias
-Hypertension
-Pupil dilation, Tremmor, Anxiety, Palpitations

Precautions:
But LIFE SAVING Adrenaline comes first
-Angina
-Acute Myocardial Ischemia
-Acute Left Heart Failure
-Exclude Cardiac causes of wheezing in patients >50
-Severe Hypertension