Epinephrine
PARAMEDIC
ADAVNACED EMT
PARAMEDIC
ADAVNACED EMT
Class: Adrenergic agent, inotropic
Action: Binds with both alpha and beta receptors to produce increased blood pressure, heart rate and bronchodilation
Indications: Bronchospasms, anaphylaxis, cardiac arrest
Adverse Effects: Tachycardia, anxiety, headache, hypertension, nervousness, tremors, chest pain, nausea/vomiting
Contraindications: Supra Ventricular Tachycardia, glaucoma
Special Considerations: Pregnancy Class C
Dosages:
Adults:
Cardiac Arrest: (1:10,000) q 3-5min
IV 1mg
IO 1mg
Asthma/anaphylaxis: (1:1,000)
SQ 0.3-0.5mg MAX dose is 1mg
IM 0.3-0.5 MAX dose is 1mg
Pediatrics:
Cardiac Arrest: 0.01mg/kg (0.1ml/kg) of (1:10,000) IV/IO q 3-5mins
Asthma/anaphylaxis: 0.01mg/kg (1:1,000) SQ MAX dose is 0.3mg