What is the IV/IO dose of epinephrine for pediatric arrest?

• A. 0.01 mg/kg of 1:10,000
• B. 0.1 mg/kg of 1:10,000
• C. 0.001 mg/kg of 1:10,000
• D. 1 mg/kg of 1:10,000

Answer: (A)

In pediatric arrest, the IV/IO dose of epinephrine is 0.01 mg per kg of a 1:10,000 solution, given as soon as IV/IO access is available and repeated every 3–5 minutes during CPR. Since 1:10,000 is 0.1 mg/mL, this dose equates to 0.1 mL per kg (so a child weighing 10 kg would get 0.1 mg, which is 1 mL of the solution). The single-dose limit is 1 mg. If the endotracheal route is used, the dose is higher (0.1 mg/kg of 1:10,000) due to less predictable absorption, which is why the other numeric options do not apply to IV/IO dosing. The essential idea is that IV/IO epinephrine in kids is 0.01 mg/kg (0.1 mL/kg of 1:10,000) with CPR intervals.