INDICATIONS:

 

• Ventricular Fibrillation/Pulseless Ventricular Tachycardia
• Asystole
• Pulseless Electrical Activity (PEA)
• Anaphylaxis
• Bronchospasm

 

 DOSAGE:

 

• ADULT:

 

• • Cardiac Arrest:

 

• • • 1 mg 1:10,000 solution IV/IO every 3-5 minutes. Max 4 doses. Contact medical control to request more doses.

 

• • Anaphylactic Shock / Allergic Reaction:

 

• • • ALS: If patient has respiratory distress and other signs of an allergic reaction 0.5 mg 1:1000 solution IM; may repeated every 15 minutes up to three times for a total of 4 doses.
    • Contact Medical Control if patient is
    • hemodynamically unstable, for orders of
    • 1:10,000 solution 0.05 mg to 0.1 mg IV.
    • BLS: See COG 8.3.1 for Epi pen alternative kit and dose.

 

• • Hypotension:

 

• • • 10-20 mcg (1-2 ml) 1:100,000 q3-5m
    • Push Dose Epi: Mix 1 ml of Epi 1:10,000 with 9 ml NS=Epi 1:100,000.

 

• PEDIATRIC:

 

• • Cardiac Arrest:

 

• • • 0.01 mg/kg (0.1 mL/kg) 1:10,000 solution IV/IO every 3-5 minutes until ROSC

 

• • Bradycardia:

 

• • • 0.01 mg/kg (0.1 mL/kg) 1:10,000 solution IV/IO every 3-5 minutes until rhythm changes or physician directs otherwise

 

• • Anaphylactic Shock / Allergic Reaction:

 

• • • ALS: If patient is under 3 years of age contact Medical Control and request an order of 0.01 mg/kg 1:1,000 solution up to a max of 0.5 mg IM
    • If patient has respiratory distress and other signs of an allergic reaction; may be repeated up to three times every 15 minutes or a total of 4 doses
    • Contact Medical Control if patient is hemodynamically unstable, for orders of 1:10,000 solution 0.3 mg IV
    • BLS: See COG 8.3.1 for Epi pen alternative kit and dose.

 

• • Hypotension: Consider Push Dose EPI OLMC*

 

 

CONTRAINDICATIONS:

 

• There are no contraindications to the use of epinephrine in the situation of cardiac arrest.

 

 SIDE EFFECTS:

 

• Palpitations
• Hypertension
• Dysrhythmias
• Anxiety
• Tremors