What is the pediatric dose for Epinephrine 1:100,000?

What is the pediatric dose for Epinephrine 1:100,000?

• A. 0.1 mg/kg IV/IO
• B. 0.01 mg/kg IV/IO, max 5 mcg
• C. 1 mg/kg IV
• D. 0.5 mg/kg IV

Answer: (B)

Epinephrine given at this dilution is dosed by weight, with a specific per-dose amount tailored to keep it safe for kids. For a solution of 1:100,000, there are 0.01 mg of epinephrine in each milliliter. The pediatric dose per event is 0.01 mg per kilogram of body weight, given IV or IO. That means you multiply the child’s weight in kilograms by 0.01 mg to get the dose in milligrams, and you convert to volume using the 0.01 mg/mL concentration. Because of safety concerns in the smallest patients, the protocol caps the dose at 5 micrograms per dose. So the correct approach is to give 0.01 mg/kg IV/IO, up to a maximum of 5 mcg. For example, a 0.5 kg infant would receive 0.005 mg (5 mcg), which corresponds to 0.5 mL of the 1:100,000 solution, matching the cap.

Epinephrine given at this dilution is dosed by weight, with a specific per-dose amount tailored to keep it safe for kids. For a solution of 1:100,000, there are 0.01 mg of epinephrine in each milliliter. The pediatric dose per event is 0.01 mg per kilogram of body weight, given IV or IO. That means you multiply the child’s weight in kilograms by 0.01 mg to get the dose in milligrams, and you convert to volume using the 0.01 mg/mL concentration. Because of safety concerns in the smallest patients, the protocol caps the dose at 5 micrograms per dose. So the correct approach is to give 0.01 mg/kg IV/IO, up to a maximum of 5 mcg. For example, a 0.5 kg infant would receive 0.005 mg (5 mcg), which corresponds to 0.5 mL of the 1:100,000 solution, matching the cap.