quick & dirty epinephrine drip

2 Jun

great post from ALiEM covers this handy tip:

10-SECOND RECAP:

In a pinch, here’s a quick way to get an IV epi drip started until the pharmacy/PYXIS/IV pump setup catches up to your need.

  • Grab the code cart epi (its 1 mg)
  • Inject the whole 1 mg into a 1 Liter NS bag 
  • Hang your new Liter bag of 1 mcg/mL concentration epi
  • Run wide open until desired initial stabilization/BP
  • Titrate to effect

 

TO MAKE YOU FEEL MORE COMFORTABLE ABOUT THIS:

ANAPHYLAXIS:

  • starting drip is 1-4 mcg/min IV
  • a wide-open 18-gauge IV will deliver ~20-30 mL/min (or 20-30 mcg/min) of epinephrine
  • recommended push-dose epi is 0.1 mg (or 100 mcg) over 5 minutes, which is 20 mcg/min avg.

 

RESUSCITATION/PRESSOR DOSING:

  • dose is 2-10 mcg/min IV   (or 2-20 mcg/min, depending on your source)

 

There you go.  Good to have in your back pocket.

 

References: ALiEM post; Epocrates; uptodate.com; picture

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