2016 Trumbull Protocol Book

Racemic Epinephrine

Racemic Epinephrine

Action

Onset

Sympathomimetic

Immediate

Indications Asthma (in the presence of albuterol or ipratropium allergy) Suspected Croup

Adult Dose 0.5mL – 1mL

Pediatric Dose 0.05 mL/kg of 2.25% solution nebulized with 6-8 liters per minute of oxygen Max Doses:

 0.25mL < 6 months  0.5mL > 6 months  0.75mL adolescent

Contraindications Hypersensitivity, epiglottitis, otherwise no contraindications in a life-threatening situation.

Adverse Reactions Tachycardia, nervousness, increased blood pressure

Precautions Not indicated for epiglottitis (may irritate the epiglottis and cause further swelling)

218

EMR

EMT

AEMT

Paramedic

Extended