Epinephrine epinephrine the classification be an adrenergic agent or an inotrope what does it do the action it binds strongly with both alpha and beta receptors and by doing this causing an increased blood pressure due to vasoconstriction increased heart rate due to increased automaticity and bronchodilation indications of when we’re going to give epinephrine
Someone with bronchospasms having an allergic reaction or anaphylactic reaction and when someone’s in cardiac arrest what are some of the adverse effects anxiety headache cardiac dysrhythmias hypertension nervousness tremors chest pain and nausea vomiting contraindications to giving epinephrine to someone someone who’s having dysrhythmias other than pulses v-tac
Or v-fib asystole or p-e-a someone who has cardiovascular disease hypertension cerebral vascular accident shock secondary to causes other than anaphylactic such as hypovolemic shock you’re not going to want to treat them with epinephrine you should actually treat them with volume replacement someone with a close angle glaucoma except in the emergency setting of
Course diabetes pregnant women with active labor known sensitivity to epinephrine or sulfites let’s talk dosages in a cardiac arrest your initial dosage would be one milligram of the one to ten thousand solution you can give that iv or io you may repeat every three to five minutes the pediatric dose for cardiac arrest the initial dose be 0.01 milligrams per
Kilogram of the one to ten thousand solution either iv or io repeat every three to five minutes as needed for a maximum dose of one milligram symptomatic bradycardia the adult dose be one microgram per minute of the one to ten thousand solution as a continuous iv infusion usual dosage range is somewhere between 2 to 10 micrograms per minute iv and you titrate
To your effect pediatric to be 0.01 milligram per kilogram of the 1 to 10 000 solution iv or io may repeat every three to five minutes for a maximum dose of one milligram does it sound familiar sounds like the cardiac arrest dosage if you’re giving epinephrine by the et tube endotracheal tube you want to administer 0.1 milligram per kilogram asthma attacks and
Certain allergic reactions the adult dose be 0.3 to 0.5 milligrams of the 1 to one thousand solution either i am or subcutaneously you may repeat every 10 to 15 minutes for a maximum dose of one milligram the pediatric dose be 0.01 milligram per kilogram of the one to one thousand solution im or sub q for a maximum dose of 0.5 milligrams anaphylactic shock
The adult does to be 0.1 milligram of one to ten thousand solution iv slowly over five minutes or an iv infusion of one to four micrograms per minute titrated to effect the pediatric dose would be a continuous iv infusion rate of 0.1 to 1 microgram per kilogram per minute of the 1 to 10 000 solution titrate to response special considerations epinephrine has a
Half-life of one minute and you want to use caution with pregnancy and classy
Transcribed from video
Epinephrine By Martin Carney
