**6.4.3 Adrenaline**

316 Complementary Pediatrics

The drug is administered every 4-6 hours. It should not exceed more than 5 doses within 24 hours. The drug can be in tablet, capsule, drop, suspension, syrup and suppository forms. The drug gets absorbed by gastrointestinal system, reaches the highest level in blood within

It is metabolized in liver and discharged from body via urinary system. It reaches fetus

*Side effects of the drug:* As a result of higher dose intake and more prolonged therapy vomiting, nausea, confusion, fever, coma, hepatic and renal tubular necrosis can be observed (Kavakl et al, 1998). Liver toxicity occurs with excessive doses or after prolonged administration (>48 hours) of therapeutic doses. Rash, fever, thrombocytopenia, leupenia,

*The things to be considered by nurse applying the drug:* Nurse should be warned not to exceed recommended dose. For children who have received higher doses and more prolonged

In case of children with nutritional deficiency it may result in toxicity in liver even if higher

If the drug is used to reduce fever it should not be forgotten that it can mask the serious

The drug should be stored in tight-closed, light-proof bottles and kept away from the reach

Acute treatment of sustained paroxysmal supraventricular tachycardia. It may also be useful

*Dose:* 50 mcg/kg rapid IV push (1 to 2 seconds). Increase dose in 50 mcg/kg increments Q2

*Adverse Effects:* > 1 / 100 Pain in the chest. Shortness of breath. Dizziness and headache. The in flow of hot face. Speeding up heart rate. Tingling in the extremities. Nausea. 1/100- 1/1000 Sweating. Lowering blood pressure. Anxiety. Seeing the fog. >1/1000 The attack of

 >32 weeks: 8 hours Term 6 hours (Kanmaz, 2010).

age-appropriate daily dose:

11 years old and older→480 mg (Kavakl et al, 1998).

through placenta (Kavakl et al, 1998).

doses are not administered.

of children (Kavakl et al, 1998).

in establishing the cause of the SVT.

minutes until return of sinus rhythm.

disease condition.

**6.4.2 Adenosine** 

an asthma attack.

half an hour-one hour and sustains its effect for almost 5 hours.

and neutropenia have been reported in children (Young & Mangum, 2010).

therapy liver, kidney and hematopoietic functions should be analyzed.

0-1 month→ 40 mg 4-11 months →80 mg 1-2 age →120 mg 2-3 age →160 mg 4-5 age →240 mg 6-8 age →320 mg 9-10 age→400 mg

As a bronchodilator in asthma attack it is administered 2 times at 20 minutes intervals by SC route at a dose of 0.01 mg/kg/dose. Higher dose Administration may result in arrhythmia and/or hypotension (Kartal, 2002).

*Uses:* The resuscitation - the cessation of the heart - together with other measures. Injections performed only by health services, which provides further information about the drug.

*Dose:* 0.0.1 to 0.03 mg/kg. IV push or SC (Young & Mangum, 2010).
