NSG 434 Med PBA
Epinephrine 0.01 mg/kg (1:1000) IM indications - answer acute asthma attacks, allergic
reactions
Epinephrine 0.01 mg/kg (1:1000) IM what is it's action? - answerβ1- and β2-agonist
causing increased levels of cyclic AMP producing bronchodilatation, cardiac and CNS
stimulation
Epinephrine 0.01 mg/kg (1:1000) IM side effects - answer Tremors, anxiety,
palpitations, tachycardia
Epinephrine 0.01 mg/kg (1:1000) IM nursing implications? - answer Monitor BP, pulse,
respirations, and urinary output
Epinephrine 0.01 mg/kg (1:1000) IM administration techniques - answerIM/SUBCUT
0.3-0.5 mg, may repeat q10-15 min (anaphylaxis) or q20min-4 hr (asthma)
given in lateral thigh now, (cut thig into thirds, middle third on the side of thigh)
Epinephrine 0.01 mg/kg (1:1000) IM contraindications - answerclosed-angle glaucoma,
and hypersensitivity to sympathomimetics
Diphenhydramine 1 mg/kg indications - answerallergy symptoms, motion sickness
Diphenhydramine 1 mg/kg mechanism of action - answerdecreases allergic response
by blocking histamine
diphenhydramine 1 mg/kg side effects - answerdizziness, drowsiness
Diphenhydramine 1 mg/kg contraindications - answerneonates and breastfeeding
mothers
Diphenhydramine 1 mg/kg nursing implications - answerAssess respiratory status (rate,
rhythm), assess for anaphylaxis (assess for rash, throat tightness, have emergency
equipment nearby)
Diphenhydramine 1 mg/kg administration technique - answerGive IV undiluted ≤25
mg/min
IV push
Epinephrine 0.01 mg/kg (1:1000) IM indications - answer acute asthma attacks, allergic
reactions
Epinephrine 0.01 mg/kg (1:1000) IM what is it's action? - answerβ1- and β2-agonist
causing increased levels of cyclic AMP producing bronchodilatation, cardiac and CNS
stimulation
Epinephrine 0.01 mg/kg (1:1000) IM side effects - answer Tremors, anxiety,
palpitations, tachycardia
Epinephrine 0.01 mg/kg (1:1000) IM nursing implications? - answer Monitor BP, pulse,
respirations, and urinary output
Epinephrine 0.01 mg/kg (1:1000) IM administration techniques - answerIM/SUBCUT
0.3-0.5 mg, may repeat q10-15 min (anaphylaxis) or q20min-4 hr (asthma)
given in lateral thigh now, (cut thig into thirds, middle third on the side of thigh)
Epinephrine 0.01 mg/kg (1:1000) IM contraindications - answerclosed-angle glaucoma,
and hypersensitivity to sympathomimetics
Diphenhydramine 1 mg/kg indications - answerallergy symptoms, motion sickness
Diphenhydramine 1 mg/kg mechanism of action - answerdecreases allergic response
by blocking histamine
diphenhydramine 1 mg/kg side effects - answerdizziness, drowsiness
Diphenhydramine 1 mg/kg contraindications - answerneonates and breastfeeding
mothers
Diphenhydramine 1 mg/kg nursing implications - answerAssess respiratory status (rate,
rhythm), assess for anaphylaxis (assess for rash, throat tightness, have emergency
equipment nearby)
Diphenhydramine 1 mg/kg administration technique - answerGive IV undiluted ≤25
mg/min
IV push
