Beta effects will increase strength of myocardial contraction, increase automaticity, and increase the electrical activity in the myocardium. Procedure Rationale 1. Approved nurses may administer epinephrine 1 mg IV Direct. A Certified Nurse may administer 1 mg epinephrine IV Direct. See drug monograph for vasopressin.
Epinephrine dosage is based on cardiac size.
Patients vary greatly in body weight but cardiac size does not vary significantly from patient to patient. 1mg provides alpha dosage. VF rarely converts without application of direct current. Epinephrine increases myocardial oxygen consumption and can precipitate or worsen myocardial ischemia. Document nursing interventions in the assessment intervention flowsheet and medication administration record.