Makindo Medical Notes"One small step for man, one large step for Makindo" |
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Related Subjects: Atropine |Acute Anaphylaxis |Basic Life Support |Advanced Life Support |Adrenaline (Epinephrine) |Acute Hypotension |Cardiogenic shock |Distributive Shock |Hypovolaemic or Haemorrhagic Shock |Obstructive Shock |Septic Shock and Sepsis |Shock (General Assessment) |Toxic Shock Syndrome
β οΈ Safety Note: Use IV Adrenaline (Epinephrine) only in extremis (e.g. π¨ cardiac arrest). For most emergencies, the IM route is safest. π In cardiac arrest: give 10 mL of 1 in 10,000 (1 mg) IV β this is the Resuscitation Council UK recommended optimum volume.
Always check the BNF link here.
| Scenario | Details |
|---|---|
| π¨ Cardiac Arrest (Adult) |
Dose: 1 mg (10 mL of 1 in 10,000)
Frequency: Stat; repeat every 3β5 min Route: Fast IV via large/central vein |
| π€§ Anaphylaxis (Adult) |
Dose: 0.5β1 mg IM (0.5β1 mL of 1 in 1000)
Frequency: Stat; repeat every 5 min if needed Route: IM into anterolateral thigh |
| π’ Symptomatic Bradycardia (Adult) |
Dose: 2β10 mcg/min IV infusion
Frequency: Titrate to HR & BP Route: IV infusion |
| π Resistant Hypotension (Adult) |
Dose: 0.12β0.6 mg/hr IV infusion
Prep: 6 mg in 100 mL 5% dextrose = 60 mcg/mL Rate: 3β10 mL/hr Frequency: Titrate to HR & BP Route: IV infusion (β οΈ check local guidance) |
| πΆ Paediatric (Cardiac Arrest) |
Dose: 10 mcg/kg (0.1 mL/kg of 1 in 10,000)
Frequency: Stat; repeat every 3β5 min Route: IV/IO |
| π§ Paediatric (Anaphylaxis) |
Dose: 0.01 mg/kg IM (0.01 mL/kg of 1 in 1000)
Max: 0.5 mg per dose Frequency: Repeat every 5 min if needed Route: IM into anterolateral thigh |