EPINEPHRINE MDI
(Primatene)Standard Prescription
Epinephrine MDI __ puffs q10 mins PRN through spacer.
(Maximum: 15 puffs in 60 minutes)
Dosages
ED/PICU/ Infant Transport Team (in the field):
Maximum: 15 puffs in 60 minutes
Mechanism of Action
Alpha and beta adrenergic agonist, vasoconstrictor.
Forms Supplied
Metered Dose Inhaler (MDI): 125 mcg/puff
Comments
Product not licensed in Canada, use is for croup in COVID-19 pandemic in place of nebulized epinephrine only at BCCH in the ED and PICU or by ITT under the advice of a physician at BCCH.
MDI to be used with a patient appropriated sized spacer device.
Effectiveness - Westley Croup Score (LOC, cyanosis, stridor, air entry, retractions) before and after each set of inhalations.
Safety - continuous pulse oximetry and cardiorespiratory monitoring.
Adverse effects: tachycardia, increased BP, pallor, jitteriness.
References
126, 159, 541
Last Edited
2021-07-20 20:59:25