Epinephrine

Generic Name

epinephrine

Trade Name

Adrenalin, EpiPen

Indication

Asthma and COPD exacerbations, allergic reactions, cardiac arrest, anesthesia adjunct

Action

Affects both beta1 and beta2 also has alpha agonist properties. Results in bronchodilation, increases in HR and BP

Therapeutic Class

antiasthmatic, bronchodilator, vasopressor

Pharmacologic Class

adrenergic agonist

Nursing Considerations

Side effects include: angina, tachycardia, hypertension, restlessness, nervousness, hyperglycemia

Use with MAOI may lead to hypertensive crisis

Patients should not use stimulants (caffeine, guarana, etc)

Excessive use may cause bronchospasm

Assess lung sounds, pulse, BP, and other hemodynamic parameters

Monitor for chest pain

Instruct patient to use as directed

Patient should insure adequate fluid intake to liquefy secretions

Mouth should be rinsed after inhalation

Beta blocker may negate effects

May increase blood glucose levels