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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine hydrochloride) Class
Sympathomimetic
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Actions
- 1. Beta-2: Bronchodilation- PRIMARY
- 2. Beta-1: Positive chronotrope, positive inotrope
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Indications
Croup (laryngotracheobronchitis)
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Contraindications
- 1. Epiglottitis
- 2. Allergy to Medication
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Precautions
- 1. Monitor vitals / EKG
- 2. Only use once in prehospital setting due to SEVERE tachycardias
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Side Effects
- 1. Palpitations
- 2. Anxiety
- 3. Headache
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Dosage
0.25- .075 ml of a 2.25% solution in 2.0 ml of NS
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Route
Inhalation
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) How supplied
Drops, Spray
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Racemic Epinephrine (Microephrine / Neo-synephrine, phenylephrine
hydrochloride) Pediatrics
Same as Adult
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