How to administer epinephrine intravenously?

Administration

Central line administration only; intravenous infusions require an infusion pump

Epinephrine can be administered SubQ, I.M., I.V., or intracardiac injection

I.M. administration into the buttocks should be avoided

Preparation of adult I.V. infusion: Dilute 1 mg in 250 mL of D5W or NS (4 mcg/mL); administer at an initial rate of 1 mcg/minute and increase to desired effects; at 20 mcg/minute pure alpha effects occur

1 mcg/minute: 15 mL/hour

2 mcg/minute: 30 mL/hour

3 mcg/minute: 45 mL/hour, etc

Intratracheal: Dilute in NS or distilled water. Absorption is greater with distilled water, but causes more adverse effects on PaO2. Pass catheter beyond tip of tracheal tube, stop compressions, spray drug quickly down tube. Follow immediately with several quick insufflations and continue chest compressions.

Extravasation management: Use phentolamine as antidote. Mix 5 mg with 9 mL of NS. Inject a small amount of this dilution into extravasated area. Blanching should reverse immediately. Monitor site. If blanching should recur, additional injections of phentolamine may be needed.

The intracardiac method is obsolete.

For further indepth knowledge please follow the link:

http://www.umm.edu/altmed/drugs/epinephrine-048100...

By a trained professional in a health care setting. Adult: IV 1mg q3-5 min. Child: IV 0.01mg/kg may repeat q3-5 min up to 0.1-0.2mg/kg

If you have to ask, you don't need to know. You shouldn't be shooting ephedrine. If you were a doctor, nurse or phlebotomist you would already know.