Pediatric Epinephrine Dose
0.15 mg auto-injector for children 15-30 kg
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Evidence-based calculations Used in clinical settings worldwide Regular monitoring recommended
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🚨 4-Year-Old Anaphylaxis
16kg child with severe allergic reaction to peanuts, hives and wheezing
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⚠️ 2-Year-Old Severe Allergic Reaction
12kg toddler with bee sting, facial swelling and difficulty breathing
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💔 8-Year-Old Cardiac Arrest
26kg child in cardiac arrest, hospital setting
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🫁 18-Month-Old Severe Croup
11kg infant with stridor at rest, nebulized epinephrine needed
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🥜 12-Year-Old Food Allergy Emergency
40kg adolescent with known peanut allergy, accidental exposure
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EMERGENCY MEDICATION CALCULATOR
In anaphylaxis, give epinephrine IMMEDIATELY. Do not delay.
Sample Emergency Scenarios
🚨 4-Year-Old Anaphylaxis
16kg child with severe allergic reaction to peanuts, hives and wheezing
Click to use this example
⚠️ 2-Year-Old Severe Allergic Reaction
12kg toddler with bee sting, facial swelling and difficulty breathing
Click to use this example
💔 8-Year-Old Cardiac Arrest
26kg child in cardiac arrest, hospital setting
Click to use this example
🫁 18-Month-Old Severe Croup
11kg infant with stridor at rest, nebulized epinephrine needed
Click to use this example
🥜 12-Year-Old Food Allergy Emergency
40kg adolescent with known peanut allergy, accidental exposure
Click to use this example
Patient Information
Patient
Emergency Type
Administration
Context
Safety Factors
⚠️ CRITICAL MEDICAL INFORMATION
This calculator is for emergency reference only. In life-threatening situations:
- GIVE EPINEPHRINE FIRST if anaphylaxis is suspected
- Call emergency services (911) immediately
- Do NOT delay treatment to calculate exact doses
- When in doubt, use an auto-injector if available
- Always verify concentration before IV administration
For informational purposes only — not medical advice. Consult a healthcare professional before acting on results.
🏥 Health Facts
— WHO
— CDC
What is Pediatric Epinephrine?
Epinephrine (adrenaline) is a life-saving medication used in pediatric emergencies. It is the first-line treatment for anaphylaxis and is also used in cardiac arrest, severe asthma, and croup. Prompt administration can be the difference between life and death.
⚠️ EMERGENCY MEDICATION
Epinephrine should be given IMMEDIATELY when anaphylaxis is suspected. Do NOT delay treatment. The benefits of epinephrine far outweigh any risks in true emergencies.
Key Actions
- • Reverses hypotension and shock
- • Opens airways (bronchodilation)
- • Reduces swelling (angioedema)
- • Increases heart rate/contractility
Critical Concentrations
- • 1:1000 = 1 mg/mL (IM/SC)
- • 1:10,000 = 0.1 mg/mL (IV only)
- • NEVER give 1:1000 IV!
How to Administer Epinephrine
IM (Anaphylaxis)
- Use 1:1000 concentration
- Inject into mid-outer thigh
- Can give through clothing
- Hold for 10 seconds
- Massage injection site
IV (Cardiac Arrest)
- Use 1:10,000 concentration
- Give via IV or IO access
- Push dose during CPR
- Follow with flush
- Repeat every 3-5 min
Nebulized (Croup)
- Use 1:1000 concentration
- Dilute with saline to 3-5 mL
- Nebulize over 15 minutes
- Observe 2-4 hours after
- Watch for rebound
When to Give Epinephrine
Signs of Anaphylaxis - GIVE EPINEPHRINE NOW:
- • Difficulty breathing/wheezing
- • Swelling of throat/tongue
- • Difficulty swallowing
- • Dizziness/fainting
- • Widespread hives
- • Vomiting/severe cramping
- • Rapid pulse or weak pulse
- • Loss of consciousness
Epinephrine Dosing Formulas
Anaphylaxis (IM)
Use 1:1000 (1 mg/mL) concentration
Cardiac Arrest (IV/IO)
Use 1:10,000 (0.1 mg/mL) concentration
Croup (Nebulized)
Use 1:1000, dilute to 3-5 mL with saline
Auto-Injector Selection
15-30 kg: EpiPen Jr / Auvi-Q 0.15 mg
>30 kg: EpiPen / Auvi-Q 0.3 mg
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