Indications: Bronchospasms, anaphylactic reactions, cardiac arrest, Drug Classification: Adrenergic Agonist Agent; Bronchodilator; Antidote Mechanism of Action: Stimulates alpha-, beta-, and beta 2 -adrenergic receptors resulting in relaxation oI smooth muscle oI the bronchial tree, cardiac stimulation, and dilation oI skeletal vasculature; small doses can cause vasodilation via beta 2 - vascular receptors; large doses may produce constriction oI skeletal and vascular smooth muscle; decreases production oI aqueous humor and increases aqueous outIlow; dilates the pupil by contracting the dilator muscle Dosage: Children 1 month-2 yrs. 0.3-0.5 mg/kg; children .2 yrs. Adults 0.4-0.5 mg/kg Special Precaution: Elderly, Pregnancy & lactation, cardiovascular disease, Arrhythmias, HPN, Hyperthyroidism, Glaucoma, DM Pregnancy Risk Category: C Adverse Reactions: CV: Pounding heartbeat, tachycardia, Ilushing, Hypertension CNS: Nervousness, restlessness, dizziness, headache, insomnia, lightheadedness GI: Nausea, vomiting Neuromuscular & Skeletal: Weakness, trembling Miscellaneous: Diaphoresis Contraindications: Hypersensitivity to epinephrine or any component Cardiac arrhythmias, angle-closure glaucoma Form: Inj. Nursing Responsibilities: Monitor heart rate, blood pressure,pulse, site oI inIusion Ior blanching Assess lung sounds beIore & aIter treatment Note amount, color, & character oI sputum produced