High-Yield pediatric dosages and calculations

Question 1

EPINEPHrine in pediatric cardiac arrest

Answer 1

• 0.01mg/kg q.3-5 minutes IV/IO
  
  • MAX 1mg

OR

• 0.1mg/kg q.3-5 minutes ETT
  
  • MAX 2.5mg
  • Followed by 5mL NS flush and 5 BVM respirations

Question 2

EPINEPHrine as a pediatric pressor

Answer 2

• 1mcg/kg slow IV/IO q.2-3 minutes

Question 3

EPINEPHrine for pre-arrest anaphylaxis

Answer 3

• 5mcg/kg IV/IO

Question 4

EPINEPHrine for Croup

Answer 4

• If <1 year old
  
  • 0.5mg/kg to a MAX of 5mg
• >1 year old
  
  • 5mg/kg

always in 5mL N/S, nebulized

Question 5

EPINEPHrine for severe bronchospasm (asthma/anaphylaxis)

Answer 5

• 0.01mg/kg IM, MAX 0.5mg

Consider 5mcg/kg IV/IO for pre-arrest anaphylaxis

Question 6

Summarize dosing options for epinephrine in pediatric patients

Answer 6

• 0.1mg/kg ETT (Cardiac arrest)
• 0.1mg/kg, MAX 5mg nebuilzed (croup)
• 0.01mg/kg IM (Severe bronchospasm)
• 0.01mg/kg IV/IO (Cardiac Arrest)
• 5mcg/kg IV/IO (pre-arrest anaphylaxis)
• 1mcg/kg IV/IO (push-dose pressor)