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Adrenaline

QuestionAnswer
Type: naturally occuring catecholamine
Pres: 1mg in 10ml mini jet 1mg in 1ml ampoule
Actions: 1 A1 peripheral vasoconstr 2 Inc rate of sinus node 3 Inc myocardial contractility 4 Inc AV conduction 5 B1 Inc myocardial irriti 6 Bronchodilation 7 B2Vasodilation of skeletal muscle
Uses: VF, Asystole, PEA, Anaphylaxis, Severe life threat asthma, bradys resistant to atropine, Severe UAW swelling
Adverse effects: Tachycardia Tachyarrythmias HTN
Contraindications: KSAR
Precautions: Cardiac Output: Hx HTN, Hx IHD, Slow to MAOI's marplan parstelin, marsilid, nardil. 1/4 dose
Dose Cardiac arrest: Adult 1mg fast push Paed 0.01mg/kg ETT if no IV/IO
Anaphylaxis/Asthma: Adult: 0.5mg Paed: 0.01mg/kg Rpt x 1 Preferred site thigh for anaphylaxis If required infusion If critical slow IV up to 0.01 mg/kg
Bradyarrythmias resistant to atropine: Infusion
Severe upper airway swelling: wt>10kg - neb 5mls wt<10kg - neb 0.5ml/kg, vol up to 5mls with NS
Created by: mattypepper