Croup There It Is

[@svoceanghost7734]

We use this also for the treatment of post extubation laryngeal edema in the respiratory care world. Thanks for the educational video.

[@thorpower1015]

I been using asthmanefrin, thanks for the vid, all doctors want you to use presription Albuterol, you're brave for saying something different other than the establishment wishes

[@Medicbobs]

Just used this last night on a 1 year old croup patient. It worked like a charm. I remember watching the video when it first came out. Just take (3) 1:1000 1mg/ml ampules and put them in a nebulizer and boom.

[@icandoitm9734]

Hi, I am a junior army medic, so should I put just 1mg of nebulized epi to nebulizer? or It is 3ml?

[@jbuccilli1]

@@icandoitm9734 use (3) 1:1000 1ml ampules into nebulizer for a total of (3) ml's. If you carry the "racemic EPI" just draw back (3) mls

[@TheHandtevy]

It's 3 mLs of Epi 1 mg/mL (1:1,000) nebulized directly without dilution. Thanks

[@thorpower1015]

That's great, works awesome for asthma, I told my doc that albuterol hfs inhalers don't. I ; well for me.

[@TheHandtevy]

@@icandoitm9734 3-5 mL of Epi 1:1,000 undiluted into the neb chamber.

[@PerformanceTheaters]

Only the preservative free product should be used. THIS IS IMPORTANT

[@nabatsherif9508]

Thanks doctor very helpful

[@RMM62]

Very helpful 👌

[@jakethemedic1]

Fantastic video, thank you!

[@pssandhu9908]

Very informative video sir

[@ryangasser595]

I don't see the Pediatrics study you presented saying anywhere to give 3 mL of epinephrine. Where are you getting this amount? Thanks

[@katherinelayden2910]

Awesome info. I appreciated the bad pun as well.

[@zanyarqadir6625]

Thanks Dr

[@uniteehumaine]

Hi Dr, can you please briefly explain the reason behind why vasoconstriction (α1 effect) of Epi is beneficial in Asthma?

[@TheHandtevy]

Hi, thanks for the comment. Epinephrine affects both alpha and beta receptors therefore you will see the B2 effect for asthmatics. Hope that helps and thanks for watching.

[@uethao]

Are you using this as a one time treatment? Or, do you have a regimented dosing like Pulmicort nebulizer solution? thx.

[@laurakerr125]

Is one better than the other when considering racemic epi or the straight 3ml 1:1000? And is there any cons for underdosing this? My protocol is for Epi 1:1000 1mg with 3ml NS nebulized. I would imagine this is far less effective.

[@andysok06]

What about asthmatic patients who are tachycardia? Epinephrine would actually worsens the tachycardia.

[@TheHandtevy]

Patients can be tachycardic for a number of reasons when are experiencing a severe asthma attack. It could be from dehydration, their underlying illness, or as a result of their respiratory distress and impending failure. In this case the epinephrine has the potential of improving their respiratory distress, enhancing their diastolic blood pressure and therefore reducing their tachycardia. I would never withhold nebulized epinephrine in a child simply because of tachycardia. Great question and thanks for your comment. Check out this video on the sick asthmatic: kzbin.info/www/bejne/p17ReGiwr6ymrNk

[@HyperkalemiaSineWave]

Tachycardia is not generally a good reason to withhold epi. Most people in shock, or even just sick and stressed about their health, will be tachycardic!

[@arsenaldream2156]

How much 1ml of racemic epinephrine equal to epinephrine 1:1000

[@bi0lizard1]

Love the title! 😂

[@TheImedic]

So you would used 3mg of epi, and the dose would be the same for any age?

[@TheHandtevy]

TheImedic Yes that’s correct

[@eminas.2029]

Is that 3 ml for children or adults?

[@TheHandtevy]

3 mL is for under 1YR, then 5 mL for 1 YR and above.

[@dodokwak]

Does it mean that Racemic Epi (0.5cc +3cc NaCl) hits only b2-adren receptors, while Epi 1:1000 (3ml) activates both b2 as well as alfa-1 receptors? Thank you.

[@TheHandtevy]

Consider the racemic and epi 1:1,000 the same. They both hit both alpha and beta receptors.

[@Kudravets-Diana]

❤