2015 Trumbull Memorial Hospital Demo

Epi Push-Dose Pressor

Epi Push-Dose Pressor

Steps

Performed? Yes No

1. Use body substance precautions.

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2. Unpack a 10mL Normal Saline flush and waste 1mL, leaving 9mL in the syringe. Attach an 18ga 1.5” intramuscular needle to the saline syringe. 3. Unpack a 1:10,000 epinephrine prefilled syringe and draw 1mL of the epinephrine into the saline flush syringe via the rubber plunger.

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4. Shake the new diluted saline/epinephrine syringe briefly to mix.

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5. Place an orange sticker on the syringe and label “Epinephrine 10mcg/mL”

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6. To administer, start an IV/IO line of normal saline and connect the syringe to the appropriate IV tubing connector using aseptic technique.

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7. Administer 0.5-2mL every 2-5 minutes. This equates to an infusion of 2-10mcg/min.

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8. Monitor the heart rate and blood pressure closely.

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9. Document the procedure, times, dosages, and any patient response in the Patient Care Report (PCR).

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Consider the following conversions, once the dilution of 10mcg/mL is achieved: Every 2 Minutes  0.5mL q 2 min = 2.5 mcg/min  1mL q 2 min = 5 mcg/min Every 4 Minutes  0.5mL q 4 min = 1.3 mcg/min *  1mL q 4 min = 2.5 mcg/min  1.5mL q 4 min = 3.8 mcg/min  2mL q 4 min = 5 mcg/min  1.5mL q 2 min = 7.5 mcg/min  2mL q 2 min = 10 mcg/min

Every 3 Minutes  0.5mL q 3 min = 1.7 mcg/min *  1mL q 3 min = 3.3 mcg/min  1.5mL q 3 min = 5 mcg/min  2mL q 3 min = 6.7 mcg/min

Every 5 Minutes  0.5mL q 5 min = 1 mcg/min *  1mL q 5 min = 2 mcg/min  1.5mL q 5 min = 3 mcg/min  2mL q 5 min = 4 mcg/min

* Subtherapeutic dosages, not recommended.

129

EMR

EMT

AEMT

Paramedic

Extended