The endotracheal epinephrine dose is how many times greater than the IV/IO dose?

Prepare for the Pediatric Cardiac Arrest Test using flashcards and multiple choice questions. Each question is accompanied by helpful hints and detailed explanations to ensure you're ready for the exam!

Multiple Choice

The endotracheal epinephrine dose is how many times greater than the IV/IO dose?

Explanation:
The key idea is how dosing differs by route during pediatric resuscitation. Epinephrine given through the IV/IO route is 0.01 mg/kg of a 1:10,000 solution. When given endotracheally, the dose is 0.1 mg/kg of the same concentration. That’s ten times greater, because absorption through the airway mucosa is much less reliable and more variable than IV/IO administration. To achieve a similar intravascular effect, a much larger endotracheal dose is used. So, the endotracheal dose is tenfold the IV/IO dose.

The key idea is how dosing differs by route during pediatric resuscitation. Epinephrine given through the IV/IO route is 0.01 mg/kg of a 1:10,000 solution. When given endotracheally, the dose is 0.1 mg/kg of the same concentration. That’s ten times greater, because absorption through the airway mucosa is much less reliable and more variable than IV/IO administration. To achieve a similar intravascular effect, a much larger endotracheal dose is used. So, the endotracheal dose is tenfold the IV/IO dose.

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