Epinephrine Drip Tutorial
So let’s talk about an epinephrine drip epinephrine drips have several indications ranging anywhere from bradycardia hypotension even some hanif relaxes protocols call for an epi drip so although not commonly used it’s one we’re going to be using in a critical time our epinephrine drips are set up on concentrations of four micrograms per milliliter and how we get
There we take one milligram epinephrine and place that in a 250 cc bag before we do that let’s talk a little bit about those things just like with dopamine we’re going to use the wheel or the clock method here we’ll be using a micro drip or a sixty thread set for our administration so our wheel is based on one minute time we piece out our drug concentration per
Milliliter and quarter intervals around so for micrograms per milliliter one two three all the way around and once you get on the inside our drip set sixty 15 30 and 45 now how do we give four micrograms per milliliter some simple field math on this and we’re taking one microgram and putting it in 250 mls that’s kind of cumbersome to convert quickly in the field
So just for mind sake i will take this and convert it to 4 milligrams in 1,000 milliliters which is just 4 times the dose of that well we know the for micrograms is also four thousand micrograms four milligrams excuse me is four thousand micrograms so we take four thousand micrograms divided by 1000 ml we get four micrograms per milliliter okay back to our clock
Our dosing for epi is based on 1 to 4 my programs permit so mike grahams permit that makes it pretty simple weights not necessarily a factor here okay so let’s set up our epi administration like i said before we’re going to take a 250 milliliter bag and a linda milligram camp you’ll of epinephrine the question is often asked does it matter if i use one to ten
Thousand verses one to 1,000 in this case one to one thousand is fine if you think about it if you use the one to ten thousand you’ll be putting ten cc’s of food in here versus just the one with this so we’re going to set our back aside just for now what a drop this up an effort now remember with an annual we have the potential for self indication to be caught in
The glass tip of this thing a couple real simple twists like this will eliminate that problem don’t be tempted to do the old file click and send this thing across the back of the index we’ve all seen that so what cc syringe are we going to use i go with a three cc syringe this is only one cc of fluid but if we go with the tuberculin or the one cc syringe you pull
Up the maximum volume of that and it can be cumbersome when it comes time to administer this into the back so we’re going to carefully break the top off of our ampule dispose of our sharp and draw up our medication and because we’re drawing out of an ampule we don’t need to compensate for air vacuum or anything like that and we can invert this and the surface third
Surface tension of the fluid and the medication will keep it upright so my technique for this i like to rest my hands together introduce the needle and slowly drop the medication make sure you get all of it expose it or sharp the next thing we’re going to do is administer this into our bag because we want to keep this as clean as possible we’re going to clean off
Our injection site on the back introduce the needle and in goes our milligram of epinephrine suppose of our sharp then you have four micrograms per milliliter of epinephrine hook this to our micro or sixty drip set and we’re ready to go
Transcribed from video
Epinephrine.m4v By Patricia Rand
