Drugs: Epinephrine 1:10,000

Front 1

Epinepherine

Class

Back 1

Sympathomimetic

Front 2

Epinepherine

Route

Back 2

IV Push

ETT alternate route for adult CPR

Front 3

Epinephrine

Adult Dose

Back 3

CPR: 1mg IV push; if unable to start IV/IO, administer 2mg via ETT

Anaphylaxis: 0.1 to 0.2 mg slow IV Push (over 1 minute)

Front 4

Epinepherine

Pediatric Dose

Back 4

CPR: 0.01 mg/kg IV push

Anaphylaxis: 0.01 mg/kg slow IV push (maximum is 0.3 mg per dose)

Bradycardia: 0.01 mg/kg slow IV push (maximum 0.3 mg per dose)

Pediatric: ETT 0.1 mg/kg

Bradycardia: 0.01 Mg/kg slow IV push (maximum is 0.3 mg per dosw)

Front 5

Epinephrine 1:10,000

Drug Action

Back 5

Alpha: Peripheral vasoconstriction with increases coronary and cerebral perfusion and increases blood pressure in anaphylaxis.

Beta1: Increases heart rate and improves force of ventricular contractions.

Beta2: Bronchodilation

Front 6

Epinephrine 1:10,000

Indictions:

Back 6

Cardiac arrest

Anaphylaxis that has not responded to epinephrine 1:1000 SQ

Pediatric bradycardias unresponsive to other treatment

Front 7

Epinephrine 1:10,000

Precautions:

Back 7

CPR: None

Anaphylaxis: Use cautiously in patients with COPD, CHF history of AMI or heart disease - older than 45 y.o. hypertension, arrhythmias and labor.

Monitor ECG closely, watching for arrhythmias/ pts on beta blockers may need Glucagon or higher doses of epinephrine.

Do not nmix with Sodium Bicarbonate; flush tubing well between drug.

Front 8

Epinephrine 1:10,000

Side effects

Back 8

CPR: none

Anaphylaxis: Tachycardia, Ventricular arrhythmias, chest pain, flushing, headache, nausea and vomiting.

Front 9

Epinephrine 1:10,000

Contraindications

Back 9

none

Front 10

Epinephrine 1:10,000

What are the two primary reasons for giving Epinephrine?

Back 10

You are dead and it accompanies CPR or anaphylaxis.