Alyssa Jade Sandoval NAME OF THE DRUG Generic Name: epinephrine (adrenaline) DOSAGE Dosage: (Adults) MECHANISM OF ACTION

BSN 3 B INDICATIONS IV: In ventricular standstill after all other measures have failed to restore circulation, given by trained personnel by intracardiac puncture and intramyocardial injection; treatment and prophylaxis of cardiac arrest and attacks of transitory AV heart block with syncopal seizures (Stokes-Adams Syndrome); syncope due to carotid sinus syndrome; acute hypersensitivity (anaphylactoid) reactions, serum sickness, urticaria, angioneurotic edema; in acute CONTRAINDICATIONS Contraindicated with allergy or hypersensitivity to epinephrine or components of preparation (many of the inhalant and ophthalmic products containing sulfites: Sodium bisulfite, sodium or potassium metabisulfite; narrow angle glaucoma; shock other than anaphylactic shock; hypovolemia; general anesthesia with halogenated hydrocarbons or cyclopropane; organic brain damage, cerebral arteriosclerosis; cardiac dilation and coronary insufficiency; tachyarrhythmias; ischemic heart disease; hypertension; renal impairment (drug may initially decrease renal blood flow); COPD patients who have developed degenerative heart disease; diabetes mellitus; hyperthyroidism; lactation ADVERSE EFFECTS CNS: Fear, anxiety, tenseness, restlessness, headache, lightheadedness, dizziness, drowsiness, tremor, insomnia, hallucinations, psychological disturbances, seizures, CNS depression, weakness, blurred vision, ocular irritation, tearing, photophobia, symptoms of paranoid schizophrenia
CV:

Drug Study NURSING RESPONSIBILITIES Warn patient that he/she may experience side effects like dizziness, drowsiness, fatigue, apprehension; anxiety, emotional changes; nausea, vomiting, change in taste (eat frequent small meals); fast heart rate Advise patient not to exceed the recommended dosage adverse effects or loss of effectiveness may result Before using this medication, inform doctor if there is presence of a heart disease, high blood pressure, heart rhythm disorder, coronary artery

Brand Name: Adrenalin

Classification: Sympathomimetic

Naturally occurring neurotransmitter, Hypersensiti the effects of which vity or are mediated by bronchospasm: alpha or beta 0.1-0.25mg receptors in target injected slowly organs. Effects on alpha receptors Cardiac include arrest: 0.5vasoconstriction, 1.0mg IV contraction of during dilator muscles of resuscitation iris. Effects of beta receptors include (Pediatrics) positive Hypersensiti chronotropic and inotropic effects on vity or bronchospasm: the heart (beta1 receptors); For neonates, 0.01mg/kg. For bronchodilation, infants, 0.05mg vasodilation, and uterine relaxation as initial dose (beta2 receptors); decreased production of Frequency: aqueous humor (Adults) q5 minutes

Arrhythmias, hypertension resulting in intracranial hemorrhage, CV collapse with hypotension,

PRN (Pediatrics) q20-30 minutes PRN

Route: IVTT

asthmatic attacks to relieve bronchospasm not controlled by inhalation or subcutaneous injection; relaxation of uterine musculature; additive to local anesthetic solutions for injection to prolong their duration of action and limit systemic absorption

palpitations, tachycardia, precordial pain in patients with ischemic heart disease GI: Nausea, vomiting, anorexia GU: Constriction of renal blood vessels and decreased urine formation (initial parenteral administration), dysuria, vesical sphincter spasm resulting in difficult and painful urination, urinary retention in males with prostatism Other: Pallor, respiratory difficulty, orofacial dystonia, sweating

disease, Parkinsons disease, diabetes, or a thyroid disorder Monitor blood pressure and pulse rate frequently. Report if there are any significant changes.