Study for the Massachusetts OEMS BLS Test. Gain confidence with multiple-choice questions and detailed explanations. Prepare effectively for your exam!

Multiple Choice

What is the mechanism of action of epinephrine 1:1000?

Epinephrine 1:1000 works by nonselectively activating both alpha and beta adrenergic receptors. Activation of alpha-1 receptors on vascular smooth muscle causes vasoconstriction, which raises blood pressure and reduces mucosal edema in the airways. Activation of beta-1 receptors in the heart increases heart rate and the force of contraction, boosting cardiac output. Activation of beta-2 receptors in bronchial smooth muscle produces bronchodilation, easing bronchospasm. When given intramuscularly for anaphylaxis, these combined effects rapidly counter airway compromise and hypotension. The described actions—vasoconstriction, increased heart rate/contractility, and bronchodilation—fit the mechanism of epinephrine best, whereas the other options describe effects epinephrine does not primarily produce (vasodilation with bradycardia, platelet aggregation inhibition, or acetylcholine receptor blockade).

Epinephrine 1:1000 works by nonselectively activating both alpha and beta adrenergic receptors. Activation of alpha-1 receptors on vascular smooth muscle causes vasoconstriction, which raises blood pressure and reduces mucosal edema in the airways. Activation of beta-1 receptors in the heart increases heart rate and the force of contraction, boosting cardiac output. Activation of beta-2 receptors in bronchial smooth muscle produces bronchodilation, easing bronchospasm. When given intramuscularly for anaphylaxis, these combined effects rapidly counter airway compromise and hypotension. The described actions—vasoconstriction, increased heart rate/contractility, and bronchodilation—fit the mechanism of epinephrine best, whereas the other options describe effects epinephrine does not primarily produce (vasodilation with bradycardia, platelet aggregation inhibition, or acetylcholine receptor blockade).