**IV**route:

**1 mg**

**IM/SC**route:

**0.3-0.5 mg**

# Pediatric Epinephrine Dose Calculator

The pediatric epinephrine dose calculator allows you to estimate the amount of epinephrine required for a child, no matter the route of administration, be it Intravenous (IV), Intramuscular (IM), Subcutaneous (SC), Endotracheal (ET) or via a nebulizer.

We will also provide you with essential information on the epinephrine dose for **anaphylaxis in pediatrics**, as well as the dose of an **EpiPen for kids**.

For the convenience of use, our pediatric epinephrine (adrenaline) dose calculator will equip you with results in **both mL and mg**.

If you're looking for everyday calculations instead, try our pediatric paracetamol and general pediatric dosage calculators.

## How to calculate epinephrine dose in pediatrics?

`dose needed (mg) = child weight (kg) * dosage of Epi (mg/kg)`

The pediatric epinephrine dose depends on a route of administration and the age of the child:

**Values for older infants and children (>28 days old):**

*Intravenous, into the vein (IV)*- 0.01 mg/kg of 1:10,000 solution;*Intramuscular, into the muscle (IM)/ Subcutaneous (SC)*- 0.01 mg/kg of 1:1,000 solution;*Endotracheal, into the trachea (ET)*- 0.1 mg/kg of 1:1,000 solution; and*Nebulizer, inhalation*- 0.5 mg/kg of 1:1,000.

You need to remember to:

- check the
**maximum dose**(in the section below); - measure the
**current weight**of the child; and - check the
**type of solution**used.

**Values for newborn infants (<28 days old):**

*Intravenous (IV)*: 0.01-0.03 mg/kg of 1:10,000 solution; and*Endotracheal (ET)*: 0.03-0.1 mg/kg of 1:10,000 solution.

➡️ In case you need any other specialist calculators, make sure to check out the following:

## What's the maximum dose of epinephrine for a child?

The maximum pediatric Epi dose depends on the route of administration, as well as the reason for use.

**Intravenous administration**

Maximum dose for pediatric use is **1 mg**.

Reason: Cardiopulmonary resuscitation (IV infusion requires a different dosage!).

**Intramuscular or subcutaneous injections**

Maximum dose: **0.3 - 0.5 mg**.

Reason: Severe aggravation of asthma - SC, allergic reaction (anaphylaxis).

**Endotracheal administration**

Maximum dose: **10 mg**.

Reason: Cardiopulmonary resuscitation.

**Nebulizer**

Maximum dose: **5 mg**.

Reason: Obstruction of the airways caused by croup (acute laryngotracheobronchitis - LTB)

## Epinephrine dose for anaphylaxis in pediatrics

Anaphylaxis is a severe allergic reaction which may have fatal consequences. We can treat this reaction with an intramuscular or subcutaneous injection of epinephrine - we can perform them **with either a regular syringe, or with an automatic EpiPen**.

The pediatric EpiPen dose is fixed and depends on the weight of the child, which makes it easier to use:

- Junior - 0.15 mg of epinephrine (for patients with 15 - 30 kg)
- Regular - 0.3 mg of epinephrine (for patients with 30 kg or more)

An IM Epi dose for pediatrics using a regular syringe is 0.01 mg/kg of a 1:1,000 solution (0.01 ml/kg).

During anaphylactic shock, do not forget about the rapid infusion of fluids! Calculate your patient's maintenance fluids!

## Epinephrine 1:1,000 vs. 1:10,000

We can administer epinephrine (adrenaline) dose in pediatrics **with two different solutions**, namely 1:1,000 and 1:10,000. No matter the concentration, we still need to provide the same amount of adrenaline: the critical difference lies in the volume of the solution required:

**1 mg/kg**of 1:1,000 solution equals**1 mL/kg**; and**1 mg/kg**of 1:10,000 solution equals**10 mL/kg**.