TY - JOUR PY - 1999// TI - Prehospital epinephrine overdose in a child resulting in ventricular dysrhythmias and myocardial ischemia JO - Pediatric emergency care A1 - Davis, C. O. A1 - Wax, P. M. SP - 116 EP - 118 VL - 15 IS - 2 N2 - INTRODUCTION: Epinephrine overdoses in children have been associated with supraventricular tachycardia. Myocardial ischemia subsequent to epinephrine overdose has not been reported in pediatric patients. CASE REPORT: We report a case of ventricular dysrhythmias and myocardial ischemia in a 5-year-old boy who received 10 times the recommended dose of subcutaneous epinephrine. Prehospital providers administered the epinephrine, believing it was part of a "high-dose" epinephrine protocol. DISCUSSION: There is no role for high-dose epinephrine in the treatment of allergic reactions or asthma. Careful epinephrine dosing, using mg/kg and verifying the volume, dilution, and route of administration is essential to prevent epinephrine toxicity.

Language: en

LA - en SN - 0749-5161 UR - http://dx.doi.org/ ID - ref1 ER -