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

Specialties Emergency

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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?

Thank you in advance. :)

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
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?

thanx in advance. :)

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?

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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.

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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 :)

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ya...and double the dose of iv :)

thanx :p

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

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.

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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.. :)

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