Pediatric Epinephrine Dose Calculator

How to Calculate Pediatric Epinephrine Dose

This calculator determines a safe epinephrine dose for a 25 kg child based on route of administration and epinephrine concentration, using these fixed guidelines:

Required Dose (mL):

For IV/IM/SC (25 kg): 0.25 mL (1:1,000), 2.5 mL (1:10,000)

For Nebulizer (25 kg): 0.25 mL (1:1,000), 2.5 mL (1:10,000)

For ET (25 kg): 2.5 mL (1:1,000), 25 mL (1:10,000)

Dose in mg:

Dose (mg) = Required Dose (mL) × Concentration (mg/mL)

1:1,000 = 1 mg/mL, 1:10,000 = 0.1 mg/mL

Where:

Weight: Fixed at 25 kg (as per examples).
Route of Administration: IV/IM/SC, Nebulizer, or Endotracheal (ET).
Concentration: 1:1,000 (1 mg/mL) or 1:10,000 (0.1 mg/mL).

Maximum doses: IV (1 mg), IM/SC (0.3–0.5 mg), Nebulizer (0.5 mg, adjusted), ET (10 mg). For emergencies, ensure rapid administration. ⚠️ This tool is for information purposes only and epinephrine dosages should always be calculated separately as well as double-checked by a healthcare provider. Always consult your healthcare provider before administering.

Using the Pediatric Epinephrine Dose Calculator

This tool estimates an epinephrine dose for a 25 kg child in emergencies. Select the route of administration (IV/IM/SC, Nebulizer, or ET) and the epinephrine concentration (1:1,000 or 1:10,000). Results show the required dose in mL, calculated dose in mg, maximum dose, and recommended solution.

Example: Weight 25 kg, IV/IM/SC, 1:10,000:

Pediatric Epinephrine Dose Calculation:
Child's Weight: 25.0 kg
Route of Administration: IV / IM / SC
Epinephrine Concentration: 1:10,000 (0.1 mg/mL)
Required Dose: 2.500 mL
Calculated Dose: 0.250 mg
Maximum Dose: 1.000 mg (for IV) or 0.500 mg (for IM/SC)
Recommended Solution: 1:10,000 (for IV) or 1:1,000 (for IM/SC)
💉 For anaphylaxis or emergency, ensure rapid administration and monitoring.
⚠️ This tool is for information purposes only...

Consult a healthcare provider before administering.

Frequently Asked Questions (FAQ)

1. What is epinephrine used for in children?

Epinephrine treats severe allergic reactions (anaphylaxis), cardiac arrest, asthma attacks, and other emergencies in pediatric patients.

2. How often can epinephrine be given?

It can be repeated every 3–5 minutes for cardiac arrest or every 5–15 minutes for anaphylaxis, depending on the child’s response and clinical need.

3. Can epinephrine be used for all routes?

Yes, but dosing varies by route: IV, IM/SC, ET, or nebulizer, with specific maximums and concentrations. Consult a provider for appropriate use.

4. What’s the difference between 1:1,000 and 1:10,000?

1:1,000 (1 mg/mL) is used for IM/SC, ET, and nebulizer, while 1:10,000 (0.1 mg/mL) is for IV, affecting the volume needed for the same dose.

5. How long can a child use epinephrine?

Epinephrine is for acute emergencies; prolonged use requires medical supervision to monitor for side effects like increased heart rate or blood pressure.