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79 Cards in this Set

  • Front
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"
Adrenaline
Presentation

"
"1 mg in 1ml amp (1:1,000)

1mg in 10ml amp (1:10,000)"
"Adrenaline
Pharmacology
"
"A naturally occurring Alpha
and Beta-adrenergic stimulant"
"Adrenaline
Actions"
"Increases pulse rate by increasing S.A. Node firing rate (beta 1)
Increases conduction velocity through the A.V. Node (beta 1)
Increases myocardial contractility (beta 1)
Increases irritability of ventricles (beta 1)
Causes bronchodilatation (beta 2)
Causes peripheral vasoconstriction (alpha 1)"
"Adrenaline
Metabolism"
"By monoamine oxidase and other enzymes in blood, liver and around nerve endings

Excreted by the kidneys "
"Adrenaline
Primary Emergency Indications"
"Persistent VF or unconscious pulseless VT
AsystoleElectro-mechanical dissociation/PEA
Inadequate perfusion (Cardiogenic)
Inadequate Perfusion (Non Cardiogenic –
Non Hypovolaemic
Anaphylactic reactions
Severe asthma with no IV Access
Asthma with no BP
Croup or suspected croup
Bradycardia with poor perfusion"
"Adrenaline
Contraindications"
Hypovolaemic shock without adequate fluid replacement
"Adrenaline
Precautions"
"Elderly Pts
Pts with cardiovascular disease
Pts on monoamine oxidase (MAO) inhibitors
Pts on Beta blockers as higher doses may be required"
"Adrenaline
Administration Route"
"IV
IM
Nebulised
ETT
IV Infusion
IO"
"Adrenaline
Special Notes"
IV Adrenaline should be reserved forlife threatening situations
"Adrenaline
Side Effects"
"Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of myocardial infarction
Anxiety/Palpitations"
"Adrenaline
Therapeutic Effects"
"IV
Onset 30 sec
Peak 3-5 min
Duration5-10 min

IM
Onset4-10 min
Duration 5-10 min "
Question
Answer
Adrenaline;Presentation
1 mg in 1ml amp (1:1,000)
Adrenaline;Pharmacology
A naturally occurring Alpha
and
Beta-adrenergic stimulant
Adrenaline
Actions
Increases pulse rate by increasing S.A. Node firing rate (beta 1)
Increases conduction velocity through the A.V. Node (beta 1)
Increases myocardial contractility (beta 1)
Increases irritability of ventricles (beta 1)
Causes bronchodilatation (beta 2)
Causes peripheral vasoconstriction (alpha 1)
Adrenaline
Metabolism
By monoamine oxidase and other enzymes in blood, liver and around nerve endings
Excreted by the kidneys&nbsp
Adrenaline
Primary Emergency Indications
Persistent VF or unconscious pulseless VT
AsystoleElectro-mechanical dissociation/PEA
Inadequate perfusion (Cardiogenic)
Inadequate Perfusion (Non Cardiogenic)
Non Hypovolaemic
Anaphylactic reactions
Severe asthma with no IV Access
Asthma with no BP
Croup or suspected croup
Bradycardia with poor perfusion
Adrenaline
Contraindications
Hypovolaemic shock without adequate fluid replacement
Adrenaline
Precautions
Elderly Pts
Pts with cardiovascular disease
Pts on monoamine oxidase (MAO) inhibitors
Pts on Beta blockers as higher doses may be required
Adrenaline
Administration Route
IV
IM
Nebulised
ETT
IV Infusion
IO
Adrenaline
Special Notes
IV Adrenaline should be reserved for life threatening situations
Adrenaline
Side Effects
Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of myocardial infarction
Anxiety/Palpitations
Adrenaline
Therapeutic Effects
IV
Onset 30 sec
Peak 3-5 min
Duration 5-10 min


IM
Onset 30-90 sec
Peak 4-10 min
Duration 5-10 min
Question
Answer
Adrenaline
Actions
Increases pulse rate by increasing S.A. Node firing rate (beta 1)
Increases conduction velocity through the A.V. Node (beta 1)
Increases myocardial contractility (beta 1)
Increases irritability of ventricles (beta 1)
Causes bronchodilatation (beta 2)
Causes peripheral vasoconstriction (alpha 1)
Adrenaline
Metabolism
By monoamine oxidase and other enzymes in blood, liver and around nerve endings
Excreted by the kidneys&nbsp
Adrenaline
Primary Emergency Indications
Persistent VF or unconscious pulseless VT
AsystoleElectro-mechanical dissociation/PEA
Inadequate perfusion (Cardiogenic)
Inadequate Perfusion (Non Cardiogenic)
Non Hypovolaemic
Anaphylactic reactions
Severe asthma with no IV Access
Asthma with no BP
Croup or suspected croup
Bradycardia with poor perfusion
Adrenaline
Contraindications
Hypovolaemic shock without adequate fluid replacement
Adrenaline
Precautions
Elderly Pts
Pts with cardiovascular disease
Pts on monoamine oxidase (MAO) inhibitors
Pts on Beta blockers as higher doses may be required
Adrenaline
Administration Route
IV
IM
Nebulised
ETT
IV Infusion
IO
Adrenaline
Special Notes
IV Adrenaline should be reserved for life threatening situations
Adrenaline
Side Effects
Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of myocardial infarction
Anxiety/Palpitations
Adrenaline
Therapeutic Effects
IV
Onset 30 sec
Peak 3-5 min
Duration 5-10 min


IM
Onset 4-10 min
Duration 5-10 min
Adrenaline
Presentation
1 mg in 1ml amp (1:1,000)

1mg in 10ml amp (1:10,000)
Adrenaline
Pharmacology
A naturally occurring Alpha
and Beta-adrenergic stimulant
Adrenaline
Actions
Increases pulse rate by increasing S.A. Node firing rate (beta 1)
Increases conduction velocity through the A.V. Node (beta 1)
Increases myocardial contractility (beta 1)
Increases irritability of ventricles (beta 1)
Causes bronchodilatation (beta 2)
Causes peripheral vasoconstriction (alpha 1)
Adrenaline
Metabolism
By monoamine oxidase and other enzymes in blood, liver and around nerve endings

Excreted by the kidneys 
Adrenaline
Primary Emergency Indications
Persistent VF or unconscious pulseless VT
AsystoleElectro-mechanical dissociation/PEA
Inadequate perfusion (Cardiogenic)
Inadequate Perfusion (Non Cardiogenic –
Non Hypovolaemic
Anaphylactic reactions
Severe asthma with no IV Access
Asthma with no BP
Croup or suspected croup
Bradycardia with poor perfusion
Adrenaline
Contraindications
Hypovolaemic shock without adequate fluid replacement
Adrenaline
Precautions
Elderly Pts
Pts with cardiovascular disease
Pts on monoamine oxidase (MAO) inhibitors
Pts on Beta blockers as higher doses may be required
Adrenaline
Administration Route
IV
IM
Nebulised
ETT
IV Infusion
IO
Adrenaline
Special Notes
IV Adrenaline should be reserved forlife threatening situations
Adrenaline
Side Effects
Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of myocardial infarction
Anxiety/Palpitations
Adrenaline
Therapeutic Effects
IV
Onset 30 sec
Peak 3-5 min
Duration5-10 min

IM
Onset4-10 min
Duration 5-10 min
Adrenaline
Presentation
1 mg in 1ml amp (1:1,000)

1mg in 10ml amp (1:10,000)
Adrenaline
Pharmacology
A naturally occurring Alpha
and Beta-adrenergic stimulant
Adrenaline
Actions
Increases pulse rate by increasing S.A. Node firing rate (beta 1)
Increases conduction velocity through the A.V. Node (beta 1)
Increases myocardial contractility (beta 1)
Increases irritability of ventricles (beta 1)
Causes bronchodilatation (beta 2)
Causes peripheral vasoconstriction (alpha 1)
Adrenaline
Metabolism
By monoamine oxidase and other enzymes in blood, liver and around nerve endings

Excreted by the kidneys 
Adrenaline
Primary Emergency Indications
Persistent VF or unconscious pulseless VT
AsystoleElectro-mechanical dissociation/PEA
Inadequate perfusion (Cardiogenic)
Inadequate Perfusion (Non Cardiogenic –
Non Hypovolaemic
Anaphylactic reactions
Severe asthma with no IV Access
Asthma with no BP
Croup or suspected croup
Bradycardia with poor perfusion
Adrenaline
Contraindications
Hypovolaemic shock without adequate fluid replacement
Adrenaline
Precautions
Elderly Pts
Pts with cardiovascular disease
Pts on monoamine oxidase (MAO) inhibitors
Pts on Beta blockers as higher doses may be required
Adrenaline
Administration Route
IV
IM
Nebulised
ETT
IV Infusion
IO
Adrenaline
Special Notes
IV Adrenaline should be reserved forlife threatening situations
Adrenaline
Side Effects
Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of myocardial infarction
Anxiety/Palpitations
Adrenaline
Therapeutic Effects
IV
Onset 30 sec
Peak 3-5 min
Duration5-10 min

IM
Onset4-10 min
Duration 5-10 min
Question
Answer
Adrenaline
Presentation
1 mg in 1ml amp (1:1,000)

1mg in 10ml amp (1:10,000)
Adrenaline
Pharmacology
A naturally occurring Alpha
and Beta-adrenergic stimulant
Adrenaline
Actions
Increases pulse rate by increasing S.A. Node firing rate (beta 1)
Increases conduction velocity through the A.V. Node (beta 1)
Increases myocardial contractility (beta 1)
Increases irritability of ventricles (beta 1)
Causes bronchodilatation (beta 2)
Causes peripheral vasoconstriction (alpha 1)
Adrenaline
Metabolism
By monoamine oxidase and other enzymes in blood, liver and around nerve endings

Excreted by the kidneys 
Adrenaline
Primary Emergency Indications
Persistent VF or unconscious pulseless VT
AsystoleElectro-mechanical dissociation/PEA
Inadequate perfusion (Cardiogenic)
Inadequate Perfusion (Non Cardiogenic –
Non Hypovolaemic
Anaphylactic reactions
Severe asthma with no IV Access
Asthma with no BP
Croup or suspected croup
Bradycardia with poor perfusion
Adrenaline
Contraindications
Hypovolaemic shock without adequate fluid replacement
Adrenaline
Precautions
Elderly Pts
Pts with cardiovascular disease
Pts on monoamine oxidase (MAO) inhibitors
Pts on Beta blockers as higher doses may be required
Adrenaline
Administration Route
IV
IM
Nebulised
ETT
IV Infusion
IO
Adrenaline
Special Notes
IV Adrenaline should be reserved forlife threatening situations
Adrenaline
Side Effects
Sinus tachycardia
Supraventricular arrhythmias
Ventricular arrhythmias
Hypertension
Pupillary dilatation
May increase size of myocardial infarction
Anxiety/Palpitations
Adrenaline
Therapeutic Effects
IV
Onset 30 sec
Peak 3-5 min
Duration5-10 min

IM
Onset4-10 min
Duration 5-10 min
Question
Answer
Adrenaline
Presentation
1 mg in 1ml amp (1:1,000)

1mg in 10ml amp (1:10,000)
Adrenaline
Pharmacology
A naturally occurring Alpha
and Beta-adrenergic stimulant
Adrenaline
Actions
Increases pulse rate by increasing S.A. Node firing rate (beta 1

Increases conduction velocity through the A.V. Node (beta 1)

Increases myocardial contractility (beta 1)

Increases irritability of ventricles (beta 1)

Causes bronchodilatation (beta 2)

Causes peripheral vasoconstriction (alpha 1)
Adrenaline
Metabolism
By monoamine oxidase and other enzymes in blood, liver and around nerve endings

Excreted by the kidneys 
Adrenaline
Primary Emergency Indications
Persistent VF or unconscious pulseless VT

AsystoleElectro-mechanical dissociation/PEA

Inadequate perfusion (Cardiogenic)

Inadequate Perfusion (Non Cardiogenic Shock)
Non Hypovolaemic

Anaphylactic reactions

Severe asthma with no IV Access

Asthma with no BP

Croup or suspected croup

Bradycardia with poor perfusion
Adrenaline
Contraindications
Hypovolaemic shock without adequate fluid replacement
Adrenaline
Precautions
Elderly Pts

Pts with cardiovascular disease

Pts on monoamine oxidase (MAO) inhibitors

Pts on Beta blockers as higher doses may be required
Adrenaline
Administration Route
IV
IM
Nebulised
ETT
IV Infusion
IO
Adrenaline
Special Notes
IV Adrenaline should be reserved forlife threatening situations
Adrenaline
Side Effects
Sinus tachycardia

Supraventricular arrhythmias

Ventricular arrhythmias

Hypertension

Pupillary dilatation

May increase size of myocardial infarction

Anxiety/Palpitations
Adrenaline
Therapeutic Effects
IV

Onset 30 sec

Peak 3-5 min

Duration5-10 min



IM

Onset4-10 min

Peak 4-10 min

Duration 5-10 min