Epinephrine
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
- Traumatic Full Arrest (Epi is not indicated for a traumatic full arrest)
Mild Allergic Reaction: (No Meds, Transport only)
