Quote from Mangomonkey56
Hi everyone! I'm new here, have been lurking and reading for a while, but I have only just gathered up the courage to post! I have a question, and I'd be very much obliged if you could help me out!!
I’ve got a list of medications I might be tested on in the upcoming exams, and under ‘nebulised’ is adrenaline. I’m not sure if it’s because I’m an idiot, or if it’s not there, but I can’t find it in MIMs as anything other than ‘injection’ or ‘solution for injection’. Under dosage/administration, it only mentions IM/SC injections and IV. I’ve found some that say that the indications for use are “It may also be used for the symptomatic relief of respiratory distress due to bronchospasm.”, which is the case that I’m assuming it would be most useful to be delivered directly to the lungs.
I’ve found a book that says there is a 1% solution for nebuliser, but I can’t find any information about this one at all. It also says the 1:1000 IV form can be diluted and used, but again can’t find any more info and nothing on MIMs in regards to using it in a nebuliser. Help! Is this a silly first-year-that-can’t-see-the-answer-in-front-of-their-face kinda question?
I do not think you will need to know about adrenaline nebulised as it is an emergency medicine.
I have just googled this "......adrenaline nebulised dose......lots to read and gives doses of adrenaline to nebulise for Monash medical students.
I have never heard of racemic adrenaline...I have only seen adrenaline used from ampules and mixed with saline as a nebuliser for a child in respiratory distress, when a student in ED...I'm not an emergency nurse. Never seen this on wards.
I think this racemic adrenaline is American and therefore not in the Australian MIMs, you might also like to look up Australian Medicine handbook which I find much more useful than MIMs.
Be aware that American meds are given different names generically and chemically. Stick to Australian medical sites with áu'' and medical handbooks....all lab values are of different values etc etc. over there and so are some lab tests.
Good luck in your research...any other probs ...welcome.
Anyone lurking, works with kids or in ED....comment please...