Complete heart block after closure of ventricular spetal defect
Child: IV bolus, 0.01-0.03 mg (0.5-1.5 ml 1:50,000 dilution).
Adult: IV bolus, 0.02-0.06 mg (1-3 ml 1:50,000 dilution).
Bronchospasm during asthma attack
Child, adult: Via aerosol inhalant, inhalation, 1 inhalant, inhalation (HCl), repeat prn after 1-5 min; max 6 inhalant, inhalation qd. Maintenance 1-2 inhalant, inhalation 4-6 times qd q 3-4 h. Via hand-bulb nebulizer, 5-15 deep inhalant, inhalation of 0.5% solution; repeat in 5-10 min prn up to 5 times qd. Or 3-7 deep inhalant, inhalation of 1% solution; repeat once in 5-10 min prn up to 5 times qd.
Child, adult: For acute dyspnea, 1 inhalant, inhalation (sulfate); repeat after 2-5 min prn. Max 6 inhalant, inhalation qd. Maintenance 1-2 inhalant, inhalation up to 6 times qd.
Bronchospasm in COPD
Child, adult: via hand-bulb nebulizer: 5-15 deep inhalant, inhalation (HCl) of 0.5% solution, or 3-7 deep inhalant, inhalation of 1% solution q 3-4 h.
Acute asthma attack unresponsive to inhalant, inhalation treatment or control of bronchospasm during anesthesia
Adult: 0.01-0.02 mg (HCl; 0.5-1 ml of 1:50,000 dilution) IV. Repeat prn.
Emergency treatment of arrhythmias
Child: May give ½ (HCl) of initial adult dose.
Adult: 0.02-0.06 mg (HCl) IV bolus. Then 0.01-0.2 mg IV. Or 5 mcg/min adjusted to pt response. Range 2-20 mcg/min. Or 0.2 mg IM or SC; then 0.02-1 mg IM, or 0.15-0.2 mg SC. In extreme cases, 0.02 mg (0.1 of 1:5,000) intracardiac inj.
Heart block, Stokes-Adams attacks, shock
Child, adult: 0.5-5 mcg/min (HCl) IV infusion, adjust to pt response; or 0.02-0.06 mg IV bolus with 0.01-0.2 mg additional dose; or 0.2 mg IM or SC with 0.02-1 mg IM or 0.15-0.2 mg additional dose. |