Pediatric
severePediatric

Pediatric severe reaction — Epinephrine dosing

Recognize

  • Anaphylaxis in pediatric patient
  • Severe bronchospasm with hypoxia
  • Laryngeal edema with stridor

Act — tap each step

Medications

DrugDoseRoute
Epinephrine IM (peds)0.01 mg/kg (max 0.3 mg)IM lateral thigh
1 mg/mL concentration
Diphenhydramine (peds)1 mg/kg (max 50 mg)IV / IM
Normal Saline (peds)20 mL/kg bolusIV
Atropine (peds)0.02 mg/kg (min 0.1 mg, max 0.6 mg)IV
For symptomatic bradycardia