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EPINEPHRINE (adrenaline) tartrate,eq. 1mg/ml base,1ml amp IV

https://medicalguidelines.msf.org/en/node/797
https://unicat.msf.org/cat/product/11677
STD DINJEPIN1AV

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Former Code(s): -X
The product is supplied (and stored) sterile, it must remain sterile until its use. Sterile = state of being free from all living microorganisms.
12.2 - Antiarrhythmic medicines
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C01CA24
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1525
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EPINEPHRINE (adrenaline)

Full Name

Synonym: Levorenin

Therapeutic Action

Sympathomimetic

Indications

Cardiac arrest

Severe anaphylaxis

Life threatening hypotension

Adjuvant treatment of shock that persists despite adequate intravascular filling

Inotropic support

Instructions for use

Two presentations for different indications (IM or IV route):

  • IM route: no dilution required (1:1000 solution)
  • IV route: dilute 1 ampoule in 9 ml of 0.9% NaCl to obtain a solution containing 0.1 mg/ml epinephrine (1:10 000 solution)

For hospital settings, order the IV presentation.

In severe acute laryngotracheobronchitis AND under the strict responsibility of the clinical practitioner, epinephrine may be given by nebulisation (using 1 mg/ml ampoule) in 5 ml of 0.9% NaCl, in combination with IM dexamethasone.

Precautions for Use

Depending on the manufacturer, the route of administration is specified on the packaging (IM only, or IV only).

Before administration, check the concentration and route of administration indicated on the ampoule.

Discard ampoules with pink or brownish contents (epinephrine solution is colourless).

Storage

  • Below 25ºC - Protect from sunlight
  • Keep the ampoules in the protective secondary packaging.