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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
Use IV Adrenaline (Epinephrine) only in extremis e.g. cardiac arrest otherwise the IM route is safest. For Cardiac arrest 10 ml of 1 in 10,000 is the recommended dose and concentration and is considered the optimum volume of adrenaline during cardiac arrest, and is recommended by the UK Resuscitation Council.
Name | Cardiac arrest dose | Frequency | Route |
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Adrenaline(Epinephrine) | 1 mg as 10 ml (1 in 10,000) mini-jet | Stat and every 3-5 minutes | Fast IV into large or central vein |
Name | Anaphylaxis Dose | Frequency | Route |
Adrenaline(Epinephrine) | 0.5-1 mg IM given as 0.5-1 ml (1 in 1000) | stat and repeated after 5 minutes if needed | Give into anterolateral aspect of muscle bulk of the middle third of the thigh in adults |
Name | Bradycardia Dose | Frequency | Route |
Adrenaline(Epinephrine) | 2-10 mcg/min IV. | IV infusion titrated to heart rate and BP | IV infusion |
Adrenaline(Epinephrine) | 0.12-0.6 mg/hr IV. | IV infusion titrated to heart rate and BP | IV infusion Adrenaline 6mg is diluted in 100ml dextrose 5% and run initially at 3-10ml/hr. Check with local guidance** |