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Presentation of Adrenaline
1mg in 1 ml ampoule (1:1000)
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Indications of Adrenaline
- Anaphylaxis
- Asthma or severe bronchospasm with imminent cardiac arrest
- Cardiac arrest
- Croup with life threatening airway compromise
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Contra-Indications of Adrenaline
KSAR
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Precautions of Adrenaline
- Pt's taking MAOI's
- Hypovolaemic shock
- Hypertension
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Side effects of Adrenaline
- Anxiety
- HTN
- Palpitations
- Tachyarrhthmias
- Dilated pupils
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Drug effect of Adrenaline
- IM = onset 30-90 sec
- peak 4-10 min
- duration 5-10 mins
- IV = onset 30 sec
- peak 2 mins
- duration 5-10 mins
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Dosage of Adrenaline - Adult
- Anaphylaxis
- 250-500mcg (0.25-0.5mg) IM repeated at 5 minute intervals only whilst Pt has life-threatening presentation, no max dose.
- Asthma or severe bronchospasm with imminent arrest (ALOC/haemodynamic compromise)
- 250-500mcg (0.25-0.5mg) IM repeated at 5 minute intervals only whilst Pt has life-threatening presentation, no max dose.
- Cardiac arrest
- 1 mg IV as a bolus to be repeated every 3-5 minutes if required
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Dosage of Adenaline - Child
1 mg (1ml) drawn up in 10ml syringe with 9ml of Normal Saline gives 1ml solution = 100mcg (1:10 000)
- Anaphylaxis
- 10mcg/kg IM, single dose not to exceed 250mcg (0.25mg), may be repeated at 5 minute intervals whilst Pt has life-threatening presentation, no maximum dose
- Asthma or severe bronchospasm with imminent arrest (ALOC/haemodynamic compromise)
- 10mcg/kg IM, single dose not to exceed 250mcg (0.25mg), may be repeated
- at 5 minute intervals whilst Pt has life-threatening presentation, no
- maximum dose
- Cardiac arrest
- Child less than 10kg (1 year) = 100mcg bolus IV
- Child more than 10kg (1 year) = 10mcg/kg IV
- Croup with life threatening airway compromise
- 2mg nebulised, single dose only
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