Epinephrine

New update 4/2019

ADULT:

Asystole / V-Fib / Pulseless V-Tach / PEA:

1 mg IV / IO (0.1 mg/mL)  IVP, every 3 minutes

 

Allergic Reactions - Facial or Cervical Angioedema:

0.5 mg IM (1 mg/mL) IM Lateral Thigh

                  

Allergic Reactions - Wheezing or Hypoxia:

0.5 mg IM(1 mg/mL) IM Lateral Thigh (may repeat twice at 0.5 mg IM every 5 min)

Allergic Reactions - Hypotension, Respiratory Distress and / or Impending Airway Obstruction:

0.5 mg IM (1 mg/mL) IM Lateral Thigh (may once in 5 min)

0.3 mg IV/IO (0.1 mg/mL) (may repeat once in 5 min)

After first dose of Epi IM is given, one repeat dose can be given IM

After first dose of Epi IM is given, one repeat dose of 0.3 mg IV/IO may be given

Contact the Base for further Orders

Septic Shock / Cardiogenic Shock / Neurogenic Shock:

IV / IO:     0.5 mL (5 mcg) - PUSH DOSE EPI every 3 min, titrate to a SBP > 90 (BHO)

PEDS:  

Asystole / V-Fib/Pulseless V-Tach / PEA:

0.01 mg/kg IV/IO (0.1 mg/mL) IVP every 3 min

 

Symptomatic Bradycardia with pulse <60:

0.01 mg/kg IV/IO (0.1 mg/mL) IVP once

 

Allergic Reactions - Facial or Cervical Angioedema:

0.01 mg/kg IM Lateral Thigh (1 mg/mL) one-time dose to a max of 0.5 mg

 

Allergic Reactions - Wheezing or Hypoxia:

0.01 mg/kg IM Lateral Thigh (1 mg/mL) one-time dose to a max of 0.5 mg (May repeat twice q 5 min)

 

Allergic Reactions - Hypotension, Respiratory Distress and / or impending airway obstruction:

0.01 mg/kg IM Lateral Thigh (1 mg/mL) (max of 0.5 mg single dose) may repeat once

0.01 mg/kg IV/IO (0.1 mg/mL) (max of 0.3 mg single dose) may repeat once

After first dose of Epi IM is given, two repeat doses can be given IM

After first dose of Epi IM is given, one repeat dose of 0.01 mg/kg IV/IO may be given

 

1:10,000    = 0.1 mg/mL

1:1000       = 1 mg/mL

INDICATIONS:

- Cardiac Arrest (Asystole, VF, VT, PEA)

- Anaphylaxis

- Moderate Allergic Reaction

 

CONTRAINDICATIONS:

- Wheezing with signs of CHF (BHO)

- Wheezing with chest pain of suspected cardiac origin (BHO)

- Cardiac History (BHO)

- Use caution for pt’s with history of HTN, CAD, or BP > 150

 

Mild Allergic Reaction: (No Meds, Transport only)

Call

M: 949-254-0942

O: 714-765-4035 

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