ADRENALINE

Question 0

PHARMACOLOGY OF ADRENALINE

Answer 0

A naturally occurring alpha and beta-adrenergic stimulant.

Question 1

PRESENTATION OF ADRENALINE

Answer 1

1 mg in 1ml (Glass Ampoule, 1:1000)

1mg in 10ml Glass Ampoule 1:10,000

Question 2

ACTIONS OF ADRENALINE

6 actions list them all

Answer 2

• Increases HR by increasing SA node firing rate (Beta 1)
• Increases conduction velocity through AV node (Beta 1)
• Increases myocardial contractility (Beta 1)
• Increases irritability of the ventricles (Beta 1)
• Causes bronchodilation (Beta 2)
• Causes peripheral vasoconstriction (Alpha)

Question 3

CONTRAINDICATIONS OF ADRENALINE

Answer 3

Hypovolaemic shock without adequate fluid replacement

Question 4

PRECAUTIONS OF ADRENALINE

List all 4

Answer 4

1. Elderly patients
2. Pts with cardiovascular disease
3. Pts on monoamine oxidase inhibitors
4. Pts on Beta blockers as higher doses may be required

Question 5

PRIMARY EMERGENCY INDICATIONS OF ADRENALINE

List all 10

Answer 5

1. Persistant VF or unconscious, pulseless, VT
2. Asystole
3. PEA
4. Inadequate perfusion (Cardiogenic)
5. Inadequate perfusion (Non-cardiogenic - non hypovolaemic)
6. Anaphylaxis
7. Severe asthma
8. unconscious asthma with no recordable BP
9. Croup
10. Bradycardia with poor perfusion

Question 6

ROUTE OF ADMINISTRATION OF ADRENALINE

Answer 6

• IV
• IM
• ETT
• NEBULISED
• IV INFUSION
• IO

Question 7

SIDE EFFECTS OF ADRENALINE

List all 7

Answer 7

1. Sinus Tachycardia
2. Supaventricular arrhythmias
3. Ventricular arrhythmias
4. Hypertension
5. Pupillary dilatation
6. May increase size of MI
7. Feeling of anxiety/palpitations in the conscious Pt

Question 8

ONSETS & DURATION OF ADRENALINE

Answer 8

IV EFFECTS
Onset: 30 sec
Peak: 3 - 5 min
Duration: 5 - 10 min

IM EFFECTS
Onset: 30 - 90 sec
Peak: 4 - 10 min
Duration: 5 - 10 min

Question 9

ADRENALINE USE FOR ADULTS & DOSES

Answer 9

Cardiac arrest: 1 mg @ 3/60 IV
Anaphylaxis: 0.3 mg @ 5/60 IM
Asthma: 0.3 mg @ 20/60 IM (X3 max)

Question 10

ADRENALINE USE FOR PAEDIATRICS & DOSES

Answer 10

Anaphylaxis: 0.01mg/kg @5/60 IM
Asthma: 0.01mg/kg @20/60 IM ( X3 max)