Epinephrine catecholamine

(alpha & beta-adrenergic
agonist)

Mix: 2 mg in 250 ml NS or D5W
Dose 1-4 mcg/kg/min

Incompatable with
Aminephylin
Ampicillin
Cephapiran
Sodium Bicarb.

(10ml of a 1:10,000
solution)

or

(1ml of a 1:1000 solution
in multidose vial)

VF,pulseless VT,PEA, or asystole

Standard dosing: 1mg I.V. push q.
3-5min

Intermediate dosing: 2-5mg
I.V.push over 3-5min

Escalating dosing: 1mg,3mg,5mg
I.V. push 3 min apart

High dosing: 0.1mg/kg I.V. push q
3-5min

Symptomatic bradycardia:
continuous infusion @ 2-10
mcg/min; titrate to hemodynamic
response (not used as a first-line drug)

MIX 1mg(1ml of a 1:1000 solution)
in 500ml NSS or D5W
* Each dose given peripherally
should be followed by 20ml fluid flush to ensure delivery to
central circulation

* If no IV access available,
give 2- 2.5 times the dose via
ET tube; follow with 10ml flush
of NSS

Intracardiac administrationsed only when no other route
available

* Increases SVR, BP, cardiac electrical activity, coronary and cerebral blood flow, strength of myocardial contraction, automaticity and myocardial oxygen requirements.

 

Return to Nurse Bob's Page