Peter AntevyNationally recognized EMS and pediatric emergency medicine leader, innovator, and educator.

Handtevy Minute: 4 Ways to use Epi 1:1,000 in a Pediatric Patient

Name: Handtevy Minute: 4 Ways to use Epi 1:1,000 in a Pediatric Patient
Uploaded: 2015-09-04T21:53:53+00:00
Duration: 1 min 11 s
Channel: Peter Antevy
Description: Dr. Peter Antevy shows four ways to give epinephrine 1:1,000 to a one-year-old: IM injection (0.1 mL into the thigh), nebulized for croup (3-5 mL), down…

4 Sept 2015 · 1 min

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1:11

Dr. Peter Antevy shows four ways to give epinephrine 1:1,000 to a one-year-old: IM injection (0.1 mL into the thigh), nebulized for croup (3-5 mL), down the endotracheal tube during resuscitation (1 mL plus 2.5 mL), or as an IV infusion diluted to 8 micrograms/mL. Never give undiluted 1:1,000 IV.

Questions this video answers

0.1 milliliters (IM, lateral thigh).

3–5 milliliters (nebulized).

1 mL of 1:1,000 down the ET tube, then an additional 2.5 mL down the ET tube.

Add 4 mL of epinephrine 1:2,000 (4 mg) to a 500 mL saline bag to yield approximately 8 micrograms per milliliter.

EPI 1:1,000 is dangerous ("pretty much deadly") if given directly IV; it should be diluted for IV infusion (epidrip).

Chapters

Hello, this is Dr. Peter Hentebi. This is another Gentevi minute. Today I wanted to show you four different ways to use EPI 1 to 1000 on a one year old child. And you'll note there are four different dosages. You'll see here the four different syringes. Let's go through them. First we have EPI 1 to 1000 for a one year old is 0.1 milliliters. You draw it up and it's lateral thigh. Another great thing for epi 1 to 1000 for croup you can do 3 to 5mls and you put it right into the nebulizer. At times you need epi to 1000 down the ET tube during resuscitation. One year old needs 1mL of 1 to 1000 and then you'll have to give another 2.5 cc's down that ET tube. Last but not least, an epi drip for this one year old. You can take 4mls of Epi 1, 2000. That's 4 milligrams. Put it into a 500 saline bag and now you have 8 micrograms per milliliter. That's an Epidrip. Some last important points. Epi 1 to 1000 is pretty much deadly. Given directly IV, you can see we gave it IM Franophylaxis Nebulizer for croup through the ET tube for resuscitation. And then the only thing is going through the IV is when we dilute it in a saline bag. And that's for an epidrip. Thank you.