Epinephrine

Question 1

Epinephrine Trade Name?

Answer 1

Adrenalin

Question 2

Epinephrine Indications?

Answer 2

-Cardiac arrest
-Anaphylaxis
-Severe bronchospasm
-Symptomatic bradycardia
-Non-hypovolemic shock

Question 3

Epinephrine Contraindications?

Answer 3

• None in cardiac arrest
• Hypovolemia
• Tachydysrhythmia
• Relative: heart disease, tachycardia, hypertension

Question 4

Epinephrine Adult Dose?

Answer 4

• Cardiac arrest: 1 mg 1:10,000 IV/IO every 3-5 minutes
• Anaphylaxis/severe bronchospasm: 0.3-0.5 mg 1:1,000 IM
• Shock/bradycardia: 2-10 mcg/min IV/IO infusion

Question 5

Epinephrine Pediatric Dose?

Answer 5

• Cardiac arrest: 0.01 mg/kg (0.1ml/kg) 1:10,000 IV/IO every 3-5 minutes
• Anaphylaxis/severe bronchospasm: 0.01 mg/kg 1:1,000 IM
• Shock/bradycardia: 0.1-1.0 mcg/kg/min IV/IO infusion

Question 6

Epinephrine Max Dose Adult/Pediatric?

Answer 6

Adults have no maximum. Pediatric is 0.3 mg/kg for anaphylaxis and symptomatic bradycardia.