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Epinephrine

INDICATIONS

  • Pulseless cardiac arrest
  • Symptomatic bradycardia
  • Shock
  • Severe asthma (status asthmaticus)

PRECAUTIONS

  • May induce tachycardia
  • Vasoconstriction
  • May induce heart failure

DOSAGE & ADMINISTRATION

PULSELESS ARREST  IV/IO 0.01 mg/kg (0.1 mg/ml solution)

  • Administer every 3–5 minutes during arrest
  • IV/IO are the best routes. If not available, it can be administered endotracheally (ET): 0.1 mg/kg (1 mg/ml concentration),
  • Administer every 3–5 minutes

ANAPHYLAXIS / SEVERE STATUS ASTHAMATICUS:

  • IM: 0.01 mg/kg of the 1 mg/ml solution
  • May repeat as needed

SYMPTOMATIC BRADYCARDIA:

  • Titrated infusion: start at 0.1–1.0 mcg/kg/minute

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