Paramedic Academy Medic Meds

Foothill College Paramedic Academy Emergency Meds

Epinephrine - Class

Sympathomimetic/ Vasopressor

Epinephrine - Mechanism of Action

Stimulates Alpha and Beta-Adrenegenic receptors Alpha-1 Beta-1 Beta-2

Epinephrine - Indications

Cardiac Arrest (Asystole, PEA, vFIB, vTACH) Anaphylaxis, Status Athsmaticus, Hypotension Refractory to TCP and Dopamine

Epinephrine - Contraindications

AMI, HTN, Hypovolemic Shock

Epinephrine - Adverse Reaction

HTN, Tachycardia, Increased Myocardial O2 Demand, Arrhythmias, Anxiety, Restlessness, Psychomotor Agitation, Angina

Epinephrine - Anaphylaxis

Adult: 0.3-0.5 mg 1:1000 IM every 10 mins max 0.9 mg

Peds: 0.01 mg/kg 1:1000 IM every 10 mins max 0.3 mg

Epinephrine - Anaphylactic Shock

Adult: 0.1 mg 1:10,000 slow IVP/IO

Epinephrine - Asthma

Adult: 0.3 mg 1:1000 IM may repeat once

Peds: 0.01 mg/kg 1:1000 IM max single dose 0.3 mg

Epinephrine - Cardiac Arrest

Adult: 1 mg 1:10,000 RIVP/IO q 3-5 mins

Peds: 0.01 mg/kg 1:10,000 RIVP q 3-5 mins