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EMT Medications - epinephrine
Details
10
Medical
Professional
02/27/2013

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Cards

Term
Trade Names
Definition
  1. Adrenalin
Term
Indications
Definition
  1. Anaphalaxis
Term
Contraindications
Definition
  1. None in the emergency setting
Term
Precautions
Definition
  1. Do not mix with alkaline solutions
Term
Side Effects
Definition
  1. Angina
  2. Anxiety
  3. Acute hyper tension
  4. Headache
  5. Heart palpitations
  6. Nausea/Vomiting
  7. Cardiac arrhythmias
  8. Pallor
  9. Shortness of breath
Term
Adult Dose
Definition
  • 0.3mg (1:1000) IM and repeat every 5-10 minutes as needed.
  • Supplied in multi-dose vial - 30mg in 30ml (1:1000). 
  • Also supplied as single dose ampule - 1mg in 1ml (1:1000).
  • Supplied as Adult Epipen – 0.3mg (1:1000) for patients who weigh more than 30kg.
Term
Pediatric Dose
Definition
  • 0.01mg per kg IM or SQ (IM preferred) - do NOT exceed 0.3mg dose.
  • Supplied as Junior Epipen – 0.15mg (1:1000) for patients who weigh between 15kg and 30kg.
Term
Notes
Definition
  1. Can be given IM or SQ but IM is preferred.
  2. Make sure you use the 1:1000 concentrations.
  3. Massage the site after injection to hasten absorption.
Term
Classification
Definition
  1. Adrenergic agonist (Sympathomimetic).
Term
Pharmacodynamics
Definition
  1. Directly stimulates the alpha and beta adrenergic receptors in the sympathetic nervous system. 
  2. Bronchodilator; Relaxes the bronchial smooth muscles and inhibits histamine release. 
  3. Cardiovascular and vasopressor; Produces positive chronotropic and inotropic effects, thereby increasing cardiac output, myocardial oxygen consumption and force of contractions.
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