Shishkabob
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Wouldn't be the first time something was taken wrongly on the internet ^_^
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Wouldn't be the first time something was taken wrongly on the internet ^_^
Wouldn't be the first time something was taken wrongly on the internet ^_^
I read
"So if 1mg of Epi is... 1mg of Epi.. why the hell do we have 2 different concentrations? "
Because it depends on the route of administration
IV in cardiac arrest we use 1:1000
IV we use 1:1000 diluted in 1,000mls to make 1:100,000 (0.01mg)
IM we use 1:1000 diluted in 10mls to make 1:10,000 (0.3-0.5mg)
Neb we use 5mg
Now technically with an arrest we do dilute up to 10ml so it could be classed as 1:10,000 but I have generally seen 1mg drawn up into a 1cc syringe and given undiluted followed by a 10-20ml flush.
What do your 1:1000 Epinephrine vials look like and what do the containers carrying 1:10,000 look like?
What is the rationale behind diluting epinepherine in cardiac arrest?
I'm also curious as to why you would dilute it to give IM? Giving 0.3 - 0.5ml (0.3 - 0.5mg) is far kinder than ramming home 5ml of solution IM.
Oh, and 1mg in 1 liter is 0.001mg/ml (1mcg/ml)
1:10,000 is in a pre-filled syringe (you know, the ones that Emergency! fans like to prepare by "Johnny Gage-ing" it) and the 1:1,000 is in an ampule and needs to be drawn up.
EDIT: We also carry epinephrine auto-injectors.
Tell me, I've never seen a pre-filled in real life (coz we don't have them) you pop the yellow caps and what, screw the two parts of the syringe together, how does that work? :unsure:
Pretty much, yeah. There's the glass tube with the medication in it, which screws into the part with the needle. Expensive? I just looked them up on www.boundtree.com and a pre-filled syringe of 1:10,000 epi was $5.70...
We carry epi, atropine, bicarb, D50, calcium chloride, nalaxone, and adenosine in pre-filled syringes.