Question

A two year old client experiencing an anaphylactic reaction and respiratory distress with laryngeal spasms is being prepared for an endotracheal tube (ETT) placement. The healthcare provider has ordered 0.5mL of epinephrine 1:10,000 to be given STAT. The attempts to place an intravenous catheter were unsuccessful. What is another appropriate route to administer the epinephrine during this anaphylactic emergency

Answer 1

Orally.

Interosseous.

Intramuscularly.

Subcutaneously.

Endotracheal tube.

Step-by-step explanation:

Interosseous, intramuscularly, endotracheal tube

(Rationale: Ideally during an anaphylactic reaction intravenously administration of epinephrine would be the best route. In the event, an intravenous route is not available, epinephrine can be administered order of preference for faster absorption, tibial interosseous, followed by endotracheal tube after the dose has been diluted in 2.5mL of normal saline before being administered down the ETT. Intramuscularly would be your last option if no other access was available due to the slow absorption rate.)