Epinephrine

Question 1

Epinephrine Adult Dose:

Answer 1

• Allergic reactions and asthma: 0.3 - 0.5 mg (0.3 - 0.5 ml 1:1000) IM
• Anaphylaxis: 0.3 - 0.5 mg (3- 5 ml 1:10,000) IV
• Cardiac: (asystole, PEA, VF) 1 mg IV push (1:10,000) every 3- 5 minutes
• Infusion: 2-10 mcg/minute

Question 2

Epinephrine Pediatric Dose:

Answer 2

• Allergic reactions and asthma: 0.01 mg/kg (0.01 mL/kg 1:1000) IM to maximum of 0.5 mg.
• Cardiac: (asystole, PEA, VF) IV, IO: Standard initial dose: 0.01 mg/kg (1:10,000, 0.1mL/kg)
• Infusion: Administer 0.1-1 mcg/kg/min IV or IO.
• Severe croup: 5 mg. as 5 ml. of 1:1000 solution administered via nebulization; may repeat every 30 minutes.
• Racemic epinephrine 11.25mg via nebulization