In this section
Note: This guideline is currently under review.
The Australian Resuscitation Council recommends the administration of Adrenaline and 0.9% Sodium Chloride bolus as treatment in the event of a cardiac arrest for Basic Life Support (BLS) or Advanced Life Support (ALS) NB-this guideline does not include BLS associated within neonatal inpatients cared for within the Butterfly unit within the Royal Children’s Hospital
The purpose of this clinical guideline is to describe how to draw up and administer intravenous (IV) or intraosseous (IO) adrenaline and fluid in a resuscitation situation.
Figure 1. Example of how to draw up adrenaline
Recommended Equipment required:
Figure 2. Dosifix Burette 3 way tap configuration for Fluid Administration
Recommended equipment required:
Figure 3. Rapid Infuser Hand Pump set (TUTA) and 3 way tap configuration and fluid administration
NB:if the above process is leading to any delay in immediate access to a Fluid bolus then an initial bolus of 30mL 0.9% Sodium Chloride can be drawn from the individual plastic saline ampoules with blunt needle until the line is primed and connected to the patient’s IV\IO or access line and then administered as described above ( see Figure 4).
Figure 4: 30mL syringe with 0.9% Sodium Chloride
Administration/application of intervention
Click here to view the evidence table for this guideline.
Please remember to read the disclaimer.
The development of this nursing
guideline was coordinated by Jenny Hough, Nurse Educator, Resuscitation Programs, and approved by the Nursing Clinical Effectiveness
Committee. First published May 2016.