Racemic Epinephrine
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Section 8 - MEDICATION GUIDELINES
BRONCHODILATORS
Vaponefrine (RACEMIC EPINEPHRINE) / Bronchodilator, Adrenergic
DESCRIPTION
- Slightly different chemically from epinephrine. Stimulates both alpha and beta adrenergic receptors with a slight preference for the beta2 receptors in the lungs. This results in bronchodilation and a decrease in mucus secretion. It also helps in relieving the subglottic edema associated with croup when administered by inhalation.
INDICATIONS
- For the treatment of bronchospasm associated with croup.
CONTRAINDICATIONS
- Epiglottitis, severe tachyarrhythmias.
PRECAUTIONS
- Use with antihistamines or tricyclic antidepressants may cause adverse cardiac effects.
DOSAGE
- 0.5 mg nebulized via updraft added to 3 ml of normal saline AND refer to appropriate PRACTICE PARAMETER for specific dosage.
