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Racemic Epinephrine

Page history last edited by PBworks 12 years, 10 months ago



Racemic Epinephrine

Generic Name: Recemic Epinephrine                                                                                                          


Trade Name: Vaponefrin                                                                                                  


Classification: Sympathetic Agonist, (Sympathomimetic)


Mechanism of Action: Bronchodialation (Beta 2 effects), Increases heart rate and contractile force (Beta 1 effects). It also helps relieve subglottic edema associated with croup.


Indications: It is only used to treat croup (laryngotracheobronchitis). Patients signs include inspiratory and expiratory stridor and a seal barklike cough.


Contraindications: Racemic Epinephrine should not be used in the management of epiglottitis or if the patient is hypersensitive to this medication.


Precautioins: Vital signs should be continually monitored with the administration of this medication as tachycardia and dysrhythmias may develop.


Interactions: Upper airway dialator to treat an acute upper airway obstruction


Side Effects: Palpations, anxiety, headache, tachycardia and dysrhythmias.


Dosage and Route: The normal dose of Recemic Epinephrine is 0.25-0.75 mL of a 2.25 percent solution diluted with 2mL of normal saline. It should only be administered by inhalation via an aerosol nebulizer (usually a small volume nebulizer) and given one dose without repeating a dose prehospital.



How Supplied: Racemic Epinephrine only comes in a liquid form and 2-3mL is administered via an aerolized nebulizer.


Special Considerations: Croup is primarily a pediatric condition effecting children under the age of three so monitoring vital signs and the patients condition is particularily important after administering Racemic Epinephrine.

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