# It may sound stupid, but I need to know..

1. epinephrine
1:1000
1:10 000

In cardiac arrest,epi 1:10 000 given, correct? And 1:1000 in anaphylaxis?

1. What will happen if epi 1:1000 given in cardiac arrest??
2. Should 1:1000 diluted to 10ml before giving it to pt in cardiac arrest? As before this (I'm taking AEMTC now)-as I remembered,we (in our ER dept) never dilute it..I never really cared about it before, but now.Ii do care..

Any correction and explanation?

Last edit by Esme12 on Sep 3, '12
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3. Quote from 7feetunder
epinephrine
1:1000
1:10 000

in cardiac arrest,epi 1:10 000 given rite? and 1:1000 in anaphylaxis

1.what will happen if epi 1:1000 given in cardiac arrest??
2.should 1:1000 diluted to 10ml b4 givin it to pt in cardiac arrest?as before this (i'm taking AEMTC now)-as i remembered,we(in our ER dept) never dilute it..i never really care bout it before,but now..i do care..

any correction and explaination?
I think I know what you are asking......

1:10,000 is the epinephrine that is given in a code 1:10,000 is...... 0.1mg/ml
1:1000 is the epinepherine given for anaphalyxis 1:1000 is...... 1.0mg/ml

The 1mg (one miligram) amp can be diluted in 10cc (actually 9cc's) to obtain the concentration of 0.1mg/ml or 1:10,000. Care must be taken that the epinepherine vial is not racemic epinepherine (inhailed epi) or epinipherine/lido 1% (used for injection for numbing agent).....or SUS-phrine a 1mg amp of sustained release SQ epi.

1:1000 amp of epinepherine can be diluted to be given in a code but is usually avoided due to a high potential for error.

1:1000 is the vial used for anaphalyxis for dosage reasons. If you need 0.4mg SQ of 1:1000 of epinepherine that would be 0.4cc's SQ. If you gave 0.4mg of a 1:10,000 epinepherine that would be 4.0cc's.

Is that what you wanted?
Last edit by Esme12 on Sep 3, '12
4. Also, 1:1,000 can be used via ET tube for cardiac arrest if you do not have IV access but di have an ET tube.
5. thanx esme!
so,by giving it iv push undiluted cause no harm right?
(acctually,in our center we practice this one-not diluted in code)

but,now i'm taking Advance Emergency Medical Trauma Care (AEMTC)
and always stated in the books/notes that have to dilute it (1:1000) and now i'm confuse.. whether to dilute it or not....

But thanx to you
6. ya...and double the dose of iv
thanx :P
7. NO you don't double the dose and Yes it is given IVP. The reason to dilute the 1:1000 is volume........you need a greater circulating volume of fluid to get it into the circulating system during a code IVP for it to be effective with CPR in progress....... the 1:1000 (1cc) can be given down the ETT undiluted.
Last edit by Esme12 on Sep 3, '12
8. Quote from Esme12
No you don't double the dose and Yes it is given IVP. The reason to dilute the 1:1000 is volume........you need a greater circulating volume of fluid to get it into the circulating system during a code IVP for it to be effective with CPR in progress....... the 1:1000 (1cc) can be given down the ETT undiluted.
thankssss again..this is what i'm looking for...i'm so happy..now i knew the reason why..
Last edit by Esme12 on Sep 3, '12