Virtual Drug Bag — Epinephrine — Standing Orders Archive

Virtual Drug Bag

EPINEPHERINE (Epi-Pen)

PACKAGED: 1:10,000—l mg/10ml (8 in drug bag) 10 ml prefilled syringe
1:1,000—30 ml vial, 1 mg/ml
Autoinjector: Adult  0.3 mg
   Or    JR.    0.15 mg

LOCATION: Main Compartment

INDICATIONS:
VF, pulseless VT, asystole, PEA
Asthma in severe distress
Anaphylaxis or allergic reaction in patients who remain hypotensive after fluid bolus

ADULT: 
VF, pulseless VT, asystole and PEA:
1 mg IV 1:10,000

Asthma, anaphylaxis:
If ≥ 30 kg, give both Adult EpiPen and EpiPen Jr or Epi (1:1,000) 0.5 mg IM

• May repeat in 5 minutes

Allergic Reaction, Anaphylaxis in patients who remain hypotensive after fluid bolus: 0.5 mg of 1:10,000 slow IV.

PEDI:
VF, PULSELESS VT, Asystole and PEA, Bradycardia:
0.01 mg/kg of 1:10,000 IV; repeat every 3-5 min.

Asthma, Anaphylaxis:
Patient < 30 kg EpiPen Jr. (0.15 mg) or Epi (1:1,000) 0.01 mg/kg IM (max 0.5 mg)

• May be repeated in five minutes

THERAPEUTIC ACTION:
Directly stimulates alpha and beta adrenergic receptors in dose-related fashion; causes bronchodilation, vasoconstriction, and increased cardiac output.

CONTRAINDICATIONS:

PRECAUTIONS AND SIDE EFFECTS:
Headache, nausea, restlessness, weakness, dysrhythmias, including ventricular tachycardia and ventricular fibrillation, hypertension, precipitation of angina pectoris, tachycardia
May increase myocardial oxygen demand
Syncope has occurred following epinephrine administration to asthmatic children.

REQUIRES MCP:
ADULT: For arrest—No.
                For repeat in asthmas, anaphylaxis –Yes

PEDI: For arrest—No
            For repeat in asthmas, anaphylaxis —Yes