Prescription

• Slow intravenous push, intratracheal and intracardiac adrenaline are charted on the stat page of the drug prescription chart in ml/dose.

Charted on fluid chart giving:

• rate in ml/hour
• dose in nanograms/kg/minute

Also charted on drug chart under continuous infusions giving:

• amount of drug to be added
• base fluid, type and volume

1. Administered by doctor / NS-ANP or a nurse with neonatal IV Drug Certification.
2. Dilute in 1-2ml of NS.
3. Instil into endotracheal tube. May be repeated as necessary.

1. Administered by a nurse with Neonatal IV Drug Certification.
2. Dilute prior to administration.
3. Do NOT use discoloured solutions.
4. Filter prior to administration through a Pall 0.2 micron filter.
5. Compatible with D5W, D10W and NS. Incompatible with alkaline solutions/drugs.
6. Do NOT mix with other drugs, blood or blood products.
7. Protect from light during administration. Wrap tubing in tinfoil and cover syringe.
8. Administer via a syringe pump.
9. Give through a central venous line (UVC, Longline, or Surgical CVL).

1. Is administered by the doctor / NS-ANP. In an emergency situation the nurse may administer under the direct supervision of the doctor / NS-ANP present.
2. Further dilution is not necessary. Do not use discoloured solutions.
3. Administer IV by slow push over 5 minutes.
4. Filter prior to administration through a Pall 0.2 micron filter.
5. Compatible with NS, D5W and D10W. Incompatible with alkaline solutions/drugs.
6. Do NOT mix with other drugs, IV solutions, blood or blood products.
7. Flush with NS before and after administration of adrenaline.

1. This is a medical staff only procedure.
2. To be administered with a 22 gauge needle.

Nursing Considerations

1. Observe IV site for signs of infiltration.
2. Continuous blood pressure monitoring or 5 minute BP recordings.
3. Continuous cardiorespiratory monitoring.
4. Document vital signs hourly and PRN.
5. Assess need for endotracheal suctioning. Mucous plugs may become more difficult to dislodge.

Storage

• At room temperature.
• Protect from light.
• Discard ampoule after opening.
• Continuous infusions. No stability data available for dilute solutions of adrenaline. Change solutions 8 hourly or more frequently if BP not maintained.

References