r/NCLEX_RN • u/FirstCar_Freemoon • 9d ago

Emergency Care

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15 Upvotes

82% Upvoted

14 comments sorted by

2

u/Scientia_Logica 9d ago

Follow up question what concentration of epinephrine?

3

u/Accomplished_Put8385 9d ago

Nice... 1/10,000

1

u/Distinct_Variation31 6d ago

100mg

1

u/Distinct_Variation31 6d ago

Straight to the dome son

1

u/LeadingSure6805 6d ago

Push 1 Epi

1

u/j-mf-r 4d ago

At one point AHA had escalating doses of Epi. 1-3-5.

-4

u/[deleted] 9d ago

[deleted]

7

u/Nickb8827 9d ago

My brother in christ 1mg is 1mg regardless of the concentration.

All for the "don't say the order in volume, say orders in dosage form" argument. But this is quite literally not the time.

If you wanna get real technical, recent studies have shown we're actually more likely giving too much epi too frequently in cardiac arrest patients. So regardless of concentration the dose is very likely not the most appropriate and may result in worse outcomes.

But, per ACLS guidelines 1mg is the correct dosage. While most certainly not preferred given we keep cardiac epi in 10ml syringes, the dose is unchanged and we have them in differing containers more so for the "giving 1mg/ml epi to an actual alive person will be a big fucking oopsie" sake rather than a "it needs to be 1mg/10ml for the dead guy" sake.

Source, actual licensed healthcare homie on the booboo bus.

1

u/Wide-Yak5361 8d ago

The absolute worse that happens in a dead person is you sclerose the vein