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10 Cards in this Set

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Epinepherine

Class
Sympathomimetic
Epinepherine

Route
IV Push

ETT alternate route for adult CPR
Epinephrine

Adult Dose
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)
Epinepherine

Pediatric Dose
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)
Epinephrine 1:10,000

Drug Action
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
Epinephrine 1:10,000

Indictions:
Cardiac arrest

Anaphylaxis that has not responded to epinephrine 1:1000 SQ

Pediatric bradycardias unresponsive to other treatment
Epinephrine 1:10,000

Precautions:
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.
Epinephrine 1:10,000

Side effects
CPR: none

Anaphylaxis: Tachycardia, Ventricular arrhythmias, chest pain, flushing, headache, nausea and vomiting.
Epinephrine 1:10,000

Contraindications
none
Epinephrine 1:10,000

What are the two primary reasons for giving Epinephrine?
You are dead and it accompanies CPR or anaphylaxis.