Epinephrine (0.1 mg/mL) - Pediatric (ALS) - Cardiac Arrest: Age 9 to 14 years requires 1.0 mg IV/IO. Which is the correct per-dose amount?

• A. 0.01 mg/kg
• B. 0.1 mg/kg
• C. 1.0 mg
• D. 2.0 mg

Answer: (C)

In pediatric cardiac arrest, epinephrine is given as a 1:10,000 solution (0.1 mg/mL) with a dose of 0.01 mg/kg per administration, repeated every 3–5 minutes, and a maximum single dose of 1 mg. For an 9–14 year-old, the protocol typically caps at 1 mg per dose, so the per-dose amount is 1.0 mg. Remember that the concentration and volume are linked: 1.0 mg of epinephrine at 0.1 mg/mL requires 10 mL of fluid. The weight-based calculation ensures smaller children get an appropriate dose, while the cap protects from overdosing larger patients; when the cap applies, you administer 1 mg per dose (which is 10 mL of the 0.1 mg/mL solution).