What is the IM epinephrine dose for pediatric anaphylaxis (max per dose)?

What is the IM epinephrine dose for pediatric anaphylaxis (max per dose)?

• A. 0.1 mg/kg IM (Max 0.3 mg)
• B. 0.01 mg/kg IM (Max 0.3 mg) 1:1000
• C. 0.001 mg/kg IM
• D. 0.02 mg/kg IM

Answer: (B)

For pediatric anaphylaxis, epinephrine is given by weight with a fixed maximum per dose, using the 1:1000 concentration given intramuscularly. The correct dosing is 0.01 mg per kilogram of body weight, up to a maximum of 0.3 mg per dose. This means a child weighing 20 kg would receive 0.2 mg (about 0.2 mL of 1:1000 solution). The other options either give too large or too small a dose for most pediatric patients or would exceed the safe per-dose maximum. So, 0.01 mg/kg IM with a max of 0.3 mg per dose is the appropriate standard.

For pediatric anaphylaxis, epinephrine is given by weight with a fixed maximum per dose, using the 1:1000 concentration given intramuscularly. The correct dosing is 0.01 mg per kilogram of body weight, up to a maximum of 0.3 mg per dose. This means a child weighing 20 kg would receive 0.2 mg (about 0.2 mL of 1:1000 solution). The other options either give too large or too small a dose for most pediatric patients or would exceed the safe per-dose maximum. So, 0.01 mg/kg IM with a max of 0.3 mg per dose is the appropriate standard.