Epinephrine

Question 1

Epinephrine Adult Dose Pulseless Arrest

Epinephrine Adult Dose Pulseless Arrest

Answer 1

Pulseless Arrest

• 1 mg (10 ml of a 1:10,000 solution), IV/IO bolus.
• Repeat every 3-5 minutes up to max of 3 doses. Additional dose may be considered for recurrent arrest after ROSC or narrow complex PEA.

Question 2

Epinephrine Adult Dose Bardycardia/Hypotension refractory to other interventions

Epinephrine Adult Dose Bardycardia/Hypotension refractory to other interventions

Answer 2

Bradycardia/ hypotension refractory to other interventions

• CONTACT BASE
• Continuous infusion titrated to effect: 1 mg in 250 ml of NS IV/IO infused at 2 mcg/min until desired BP of > 90 mmHg systolic achieved.

Question 3

Epinephrine Adult Dose Asthma

Epinephrine Adult Dose Asthma

Answer 3

Asthma:

• 0.3 mg (0.3 ml of a 1:1,000 solution) IM
• May repeat dose once

Question 4

Epinephrine Adult Dose for Severe Systemic Allergic Reaction (Anaphylaxis) refractory to IM Epi

Answer 4

Severe systemic allergic reaction (Anaphylaxis) refractory to IM epi

• CONTACT BASE
• Continuous infusion titrated to effect: 1 mg in 250 ml of NS IV/IO infused at 2 mcg/min until desired BP of > 90 mmHg systolic achieved

Question 5

Epinephrine Adult Dose, ALTERNATIVE to racemic epinephrine: (for epiglottitis, misc. causes of stridor)

Answer 5

Epinephrine Adult Dose, ALTERNATIVE to racemic epinephrine: (for epiglottitis, misc. causes of stridor)

• 5 mL of 1:1000 epinephrine via nebulizer x 1

Question 6

Epinephrine Ped Dose Pulseless Arrest

Answer 6

Epinephrine Ped Dose Pulseless Arrest

• 0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000 solution)
• Subsequent doses repeated every 3-5min
  
  • 0.01 mg/kg IV/IO (0.1 ml/kg of 1:10,000 solution)

Question 7

Epinephrine Ped Dose Bradycardia

Answer 7

Bradycardia

• CONTACT BASE
  
  • 0.01 mg/kg (0.1 ml/kg of 1:10,000 solution) IV/IO

Question 8

Epinephrine Ped Dose, Asthma and Moderate to Severe Allergic Reactions

Answer 8

Epinephrine Ped Dose, Asthma and Moderate to Severe Allergic Reactions

• 0.01 mg/kg (0.01 ml/kg of 1:1,000 solution) IM.
• Alternative: 0.15 mg (0.15 mL of 1:1,000) for <25 kg and 0.3 mg (0.3 mL of 1:1,000) for >25 kg

Question 9

Epinephrine Ped Dose, ALTERNATIVE to racemic epinephrine: (for bronchiolitis, croup, epiglottitis, miscellaneous causes of stridor)

Answer 9

ALTERNATIVE to racemic epinephrine: (for bronchiolitis, croup, epiglottitis, miscellaneous causes of stridor)

• 5 mL of 1:1000 epinephrine via nebulizer x 1