You are at the scene of a cardiac arrest patient where the crew is experiencing difficulty establishing an intravenous line. The patient, however, is intubated. Standing orders exist that authorize the administration of epinephrine 1 mg. Which of the following BEST describes your actions?
a. Do not administer the epinephrine until an IV is established.
b. Administer the medication subcutaneously, but double the dosage.
c. Give 1 mg epinephrine down the endotracheal tube.
d. Give 2.0 mg epinephrine down the endotracheal tube.
d
Rationale: a. Epinephrine can be administered endotracheally.
b. Epinephrine can be administered endotracheally.
c. You should give 2–2.5 times the normal dose of epinephrine if utilizing the endotracheal route.
d. Correct.
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