What is the maximum single dose of epinephrine 1:10,000 used in pediatric bradycardia protocol?

• A. 1 mg
• B. 0.5 mg
• C. 0.1 mg
• D. 0.01 mg/kg (max 1 mg)

Answer: (A)

The key is that epinephrine 1:10,000 is given as a bolus at a weight-based dose of 0.01 mg/kg, IV/IO, but there is a safety cap of 1 mg per dose. In pediatric bradycardia with poor perfusion, you calculate 0.01 mg/kg, but you never administer more than 1 mg in a single bolus. That’s why the maximum single dose is 1 mg overall, even though the exact per-kilogram dose changes with the child’s weight. For example, a 10 kg child would receive about 0.1 mg per dose, while a much larger child could still be limited to 1 mg per bolus. Doses are repeated every 3–5 minutes as needed during resuscitation.