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Nursing Responsibilities for Epinephrine

This document summarizes information about the drug epinephrine, including its mechanism of action, dosages and indications, contraindications, interactions, side effects, nursing responsibilities, and adverse reactions. Epinephrine stimulates alpha, beta, and beta2 adrenergic receptors. It is used for bronchospasm, anaphylactic reactions, and cardiac arrest. Contraindications include hypersensitivity, cardiac arrhythmias, and angle-closure glaucoma. Nurses must monitor vital signs closely, protect the drug from light and temperature extremes, and rotate injection sites to prevent necrosis when administering epinephrine. Potential adverse reactions include arrhythmias, respiratory difficulty, and pulmonary edema.

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12K views1 page

Nursing Responsibilities for Epinephrine

This document summarizes information about the drug epinephrine, including its mechanism of action, dosages and indications, contraindications, interactions, side effects, nursing responsibilities, and adverse reactions. Epinephrine stimulates alpha, beta, and beta2 adrenergic receptors. It is used for bronchospasm, anaphylactic reactions, and cardiac arrest. Contraindications include hypersensitivity, cardiac arrhythmias, and angle-closure glaucoma. Nurses must monitor vital signs closely, protect the drug from light and temperature extremes, and rotate injection sites to prevent necrosis when administering epinephrine. Potential adverse reactions include arrhythmias, respiratory difficulty, and pulmonary edema.

Uploaded by

iamELHIZA
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Name Of Drug

Mechanism Of Action

Dosage And Indication

Contraindication

Interaction

Side Effects and Adverse Reaction

Nursing Responsibilities

SARENO, MA. ELISA G. BSN IV-A Generic Name: Stimulates alpha-, beta-, RLE GROUP # 1 and beta2 adrenergic
Epinephrine

Dosage: Cardiac resuscitation: -Adult: 0.5-1mg IV -Children 0.01mg/kg q20 mins Injection -0.2-0.5mg

Brand Name: Adrenaline Adrenaclick Medihaler-Epi Twinject AutoInjector Weimer Adrenaline Epipen

receptors resulting in relaxation of smooth muscle of the bronchial tree, cardiac stimulation, and dilation of skeletal vasculature; small doses can cause vasodilation via beta2- vascular receptors; large doses may produce constriction of skeletal and vascular smooth muscle; decreases production of aqueous humor and increases aqueous outflow; dilates the pupil by contracting the dilator muscle

Precautions: Elderly, Pregnancy & lactation, cardiovascular disease, Arrhythmias, HPN, Hyperthyroidism, Glaucoma, DM

Indication: Bronchospasm s Anaphylactic Reactions Cardiac Arrest

Classification: Inotropic Agent Adrenergic Agonist Bronchodilator

Contraindication: Hypersensitivity to epinephrine or any component Cardiac arrhythmias, Angle-closure glaucoma

Drug-Drug: Increased sympathomimet ic effects with other TCAs (eg, imipramine) Excessive hypertension with propranolol, beta-blockers, furazolidone Decreased cardiostimulating and bronchodilating effects with beta-adrenergic blockers (eg, propranolol) Decreased vasopressor effects with chlorpromazine, phenothiazines Decreased antihypertensiv e effect of guanethidine, methyldopa

Side Effects: CV: Pounding heartbeat, tachycardia, flushing, Hypertension CNS: Nervousness, restlessness, dizziness, headache, insomnia, lightheadedness GI: Nausea, vomiting

General Monitor heart rate, blood pressure, pulse Use extreme caution when calculating and preparing doses; epinephrine is a very potent drug. Protect drug solutions from light, extreme heat and freezing. Shake the suspension for injection well before withdrawing the dose. Injection Rotate SC injection sites to prevent necrosis; monitor sites frequently Make resuscitation equipments available Resuscitation drugs for anaphylactic reaction must be available Cardiac monitors must be attached to client.

Adverse Reaction: Ischemic injury Arrhythmias Respiratory difficulty Extravasation necrosis at injection site Plasma volume depletion on prolonged administration Pulmonary edema

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