Final answer:
The recommended endotracheal dose of epinephrine is 2 to 2.5 times higher than the intravenous dose, and epinephrine is also the first-line treatment for anaphylactic shock, with patients advised to carry an epinephrine auto-injector.
Step-by-step explanation:
The recommended dose of endotracheal epinephrine for cardiac arrest is higher than the intravenous dose due to lower absorption from the endotracheal tube's lining. While the intravenous (IV) dose of epinephrine in adults is typically 1 mg (or 0.01 mg/kg), the endotracheal dose is suggested to be 2 to 2.5 times higher. However, the precise dosing can vary based on different medical organizations' guidelines and the clinical scenario. Always follow the advanced cardiac life support (ACLS) recommended dosages or other official guidelines when administering epinephrine. In the context of anaphylactic shock, epinephrine is the first-line treatment and should be administered promptly to counteract the severe allergic reaction.
Regarding severe allergies, an epinephrine injection can be lifesaving. It is recommended for patients with known severe allergies to carry an auto-injector with them at all times, especially when there is no immediate access to medical facilities.