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EMR
EMT
AEMT
Paramedic
Extended
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)
Racemic Epinephrine