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push dose epi

INDICATIONS:

Push dose epinephrine is for use in profoundly hypotensive patients after standard treatments fail to improve blood pressure.

 

  • Septic shock (BHO)

  • Cardiogenic shock (BHO)

  • Suspected neurogenic shock (spinal cord injury with hypotension) (BHO)

  • Anaphylactic shock (BHO)

 

CONTRAINDICATIONS:

  • Hypovolemic shock (BHO)

  • 1 mg Vials (Do Not double dilute drugs to obtain the desired concentration), coordinate with Base ​Hospital if only carrying 1 mg vials of Epi

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PROCEDURES:

Mixing Instructions

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  1. Take Epinephrine 1 mg (0.1 mg/mL) preparation and waste 9 mL of the Epinephrine.

  2. Take the same syringe and withdraw 9 mL of Normal Saline from the IV bag, shake well.

  3. Mixture now provides 10 mL of Epinephrine at a 10 mcg/mL concentration.

  4. Confirm procedure with partner.

**The Pre-Filled Epi syringe should always be used to avoid confusion of using NS syringe**

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Dose:

 

  • 0.5 mL (5 mcg) IV/IO, every 3 minutes, titrate to a SBP > 90.

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****BE VERY CAREFUL TO GIVE CORRECT DOSE****

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