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Epinephrine: Usage and Precautions

Epinephrine is a beta2 adrenergic agonist used to treat asthma, bronchitis, emphysema, anaphylaxis, cardiac arrest, symptomatic bradycardia, and exercise-induced bronchospasm. It works by stimulating beta receptors in the lungs to relax bronchial smooth muscle and increase vital capacity while also increasing heart rate, blood pressure, and airway patency. Nurses should monitor for potential adverse effects like nervousness, tremor, hypertension, and cardiac dysrhythmias when administering epinephrine and educate patients about contraindications like coronary artery disease, heart attack, and overactive thyroid gland.

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Salwa Zein
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28 views2 pages

Epinephrine: Usage and Precautions

Epinephrine is a beta2 adrenergic agonist used to treat asthma, bronchitis, emphysema, anaphylaxis, cardiac arrest, symptomatic bradycardia, and exercise-induced bronchospasm. It works by stimulating beta receptors in the lungs to relax bronchial smooth muscle and increase vital capacity while also increasing heart rate, blood pressure, and airway patency. Nurses should monitor for potential adverse effects like nervousness, tremor, hypertension, and cardiac dysrhythmias when administering epinephrine and educate patients about contraindications like coronary artery disease, heart attack, and overactive thyroid gland.

Uploaded by

Salwa Zein
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Name of the Drug Mechanism of Action Indication/ Contraindications Adverse Effects Nursing Responsibilities

Generic Name: Action: Indications: Adverse Effects: Monitor V/S. and check for cardiac
epinephrine Stimulates beta Asthma dysrhythmias
receptors in lung. Bronchitis nervousness, tremor,
Brand Name: Emphysema vertigo, pain, widened Drug increases rigidity and tremor
Injection, OTC nasal Relaxes bronchial All cardiac arrest, anaphylaxis pulse pressure, in patients with Parkinson’s disease
solution: smooth muscle. Used for symptomatic bradycardia. hypertension nausea Epinephrine therapy interferes
Adrenalin Chloride Relief of bronchospasm occurring during anesthesia with tests for urinary catecholamine
Increases vital capacity Exercised-induced bronchospasm Avoid IM use of parenteral
:Classification: Beta2  BP,  HR,  PR suspension into buttocks. Gas
Adrenergic Agonists Contraindications: gangrene may occur
Decreases airway overactive thyroid gland Massage site after IM injection to
Dosage\Route : resistance. diabetes counteract possible
Cardiac arrest: parkinson symptoms vasoconstriction.
1 mg IV of 1:10,000 closed angle glaucoma Observe patient closely for
solution q 3-5 min; double high blood pressure adverse reactions. Notify doctor if
dose if administering heart attack adverse reaction develop
via ET tube angina If blood pressure increases
coronary artery disease sharply, rapid-acting vasodilators
Anaphylaxis: 0.1- 1 mg SQ sinus tachycardia such as nitrates or alpha blockers
or IM of 1:1000 solution. abnormal heart rhythm can be given to counteract
abnormal EKG with QT changes from birth
Asthma: 0.1-0.3 mg SQ or hardening of the arteries in the brain
IM of 1:10,000 solution blood circulation failure due to serious heart c
condition
Refractory bradycardia and Bleeding causing Blood Pressure or Heart Problems
hypotension: 2-10ug/min dilated cardiomyopathy

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