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200
EMR
EMT
AEMT
Paramedic
Extended
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.
Epinephrine 1:10,000