Adrenaline Dose in Anaphylaxis - Adult

Question: How much adrenaline would you give to an adult to treat anaphylaxis?

Answer

Question: How much adrenaline would you give to an adult to treat anaphylaxis?

Answer:

  • IM dose use 1:1000 - 500 mcg (0.5 ml)
  • IV dose use 1:10 000 - titrate 50 mcg (0.5 ml) boluses

Question: How much adrenaline would you give to an 8-year-old child to treat anaphylaxis?

Answer

Question: How much adrenaline would you give to an adult to treat anaphylaxis?

Answer:

  • IM dose use 1:1000 - 500 mcg (0.5 ml)
  • IV dose use 1:10 000 - titrate 50 mcg (0.5 ml) boluses

Question: How much adrenaline would you give to an 8-year-old child to treat anaphylaxis?

Answer:

  • IM dose use 1:1000 - 300 mcg (0.3 ml)
  • IV dose use 1:10 000 - 1 mcg/kg
  • Weight (kg) = 2(age+4) = 24 kg
  • Give 0.24 ml of 1:10 000

Table 1 gives a summary of adrenaline doses in anaphylaxis.

IM doses of adrenaline 1:1000 (1 mg in 1 ml ) in anaphylaxis

Adult

500 microgram (0.5 ml)

Child more than 12 years

500 microgram (0.5 ml)

Child 6-12 years

300 microgram (0.3 ml)

Child less than 6 years

150 microgram (0.15 ml)
IV doses of adrenaline in anaphylaxis. Titrate:
Adult 50 microgram (0.5 ml of 1:10 000). If you use 1:1000 dilute with saline to 10ml to get 1:10 000

Child

1 microgram per kilogram of body weight

Table 1 Adrenaline doses in anaphylaxis