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Rachel Rafeq
Emergency medicine pharmacist and toxicology enthusiast. Trained in medication safety and I apply that to everything. I love photography and world schooling my kids.
Faces of Epinephrine
Epinephrine is versatile and can be used for many things in resuscitation and critical care. Check out this infographic for more information.
Do you have another use for epinephrine? Let us know in the comments below.
Great one.
How to use (tompromize blood pressure epi). Is it just a push through peripheral IV line just like phenylephrine ?
Thanks
Hello!
Thanks for the question. That’s correct. When it is utilized, it is administered intravenous push over 1 second and can be repeated as needed. It can be administered through peripheral line.
Love the visual. What are your thoughts about dosing epi in arrest circumstances based on diastolic BP/ myocardial perfusion pressure? There are lots of scenarios where compressions generate a reasonable BP, there are no pulses on pulse-check, and you are now up to 3, 4, 5, 6 mg of epi. Do you keep giving epi? When do you stop? Thanks in advance.
Thanks! What an interesting question! While I have heard of this, I have not seen it in practice. Is this something you have done before or do you have any articles on this topic? There really isn’t a good answer as to when to stop giving epinephrine. It will be up to the code leader to determine if all interventions have been exhausted.