What concentration is used for epinephrine when given intramuscularly for pediatric anaphylaxis?

What concentration is used for epinephrine when given intramuscularly for pediatric anaphylaxis?

• A. 1:5000
• B. 1:10000
• C. 1:1000
• D. 1:50000

Answer: (C)

IM epinephrine for pediatric anaphylaxis is given using a 1:1000 concentration, which is 1 mg per mL. The dose is 0.01 mg/kg, with a maximum single dose of 0.3 mg. Practically, this means 0.01 mL/kg of the solution into the thigh (since 0.01 mg/kg ÷ 1 mg/mL = 0.01 mL/kg). For example, a 10 kg child would receive 0.1 mg (0.1 mL); a 30 kg child reaches the max 0.3 mg (0.3 mL). Other dilutions (1:5000, 1:10000, 1:50000) are used in different contexts or routes, but not for the standard intramuscular treatment in children.

IM epinephrine for pediatric anaphylaxis is given using a 1:1000 concentration, which is 1 mg per mL. The dose is 0.01 mg/kg, with a maximum single dose of 0.3 mg. Practically, this means 0.01 mL/kg of the solution into the thigh (since 0.01 mg/kg ÷ 1 mg/mL = 0.01 mL/kg). For example, a 10 kg child would receive 0.1 mg (0.1 mL); a 30 kg child reaches the max 0.3 mg (0.3 mL). Other dilutions (1:5000, 1:10000, 1:50000) are used in different contexts or routes, but not for the standard intramuscular treatment in children.