2015 Trumbull Memorial Hospital Demo

Epinephrine 1:10,000

Epinephrine 1:10,000

Action

Onset

Sympathomimetic

< 5 minutes

Indications Asystole/PEA, Cardiac Arrest, CCR Vfib/Pulseless Vtach Pediatric Arrest, Pediatric Symptomatic Bradycardia Epi Push-Dose Pressor (diluted with 10 mL NS) See Epi Push-Dose Pressor Procedure Adult Dose Cardiac Arrest: 1 mg of 1:10,000 IVP/IO every 3-5 min Epi Push-Dose Pressor (once diluted properly): 0.5-2 mL every 2-5 minutes (2-10 mcg/min)

Pediatric Dose 0.01 mg/kg (0.1 mL/kg) IV/IO every 3-5 min

Contraindications Known hypersensitivity

Adverse Reactions Cardiac: arrhythmias, hypertension, angina Other: Cerebral hemorrhage, hemiplegia, subarachnoid hemorrhage

Precautions Protect from light. Do not use if discolored or contains precipitate.

Considerations Flush IV tubing well before/after using Sodium Bicarbonate through the same line. If patient has a perfusing rhythm, Epinephrine 1:10,000 should be diluted 10 times prior to using intravenously.

200

EMR

EMT

AEMT

Paramedic

Extended