Paediatric emergencies: epinephrine dose in arrest: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Paediatric emergencies: epinephrine dose in arrest

Sample item

In paediatric cardiac arrest, what is the correct dose and interval of epinephrine?

A0.1 mg/kg IV every 30 secondsB0.01 mg/kg IV (0.1 mL/kg of 1:10,000) every 3 to 5 minutesC1 mg IV for every childD0.001 mg/kg every 10 minutes

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. 0.01 mg/kg IV (0.1 mL/kg of 1:10,000) every 3 to 5 minutes

Epinephrine is given at 0.01 mg/kg IV or IO, equal to 0.1 mL/kg of the 1:10,000 solution, every 3 to 5 minutes during arrest. Higher doses do not improve outcomes.

Option by option

A. 0.1 mg/kg IV every 30 seconds
0.1 mg/kg is a tenfold overdose.
B. 0.01 mg/kg IV (0.1 mL/kg of 1:10,000) every 3 to 5 minutes (correct)
Correct. This is the standard dose and interval.
C. 1 mg IV for every child
A flat 1 mg dose is for adults.
D. 0.001 mg/kg every 10 minutes
The dose and interval are both too low.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, 0.01 mg/kg IV (0.1 mL/kg of 1:10,000) every 3 to 5 minutes. Epinephrine is given at 0.

Why is "0.1 mg/kg IV every 30 seconds" not the answer?

0.1 mg/kg is a tenfold overdose.

Why is "1 mg IV for every child" not the answer?

A flat 1 mg dose is for adults.

Why is "0.001 mg/kg every 10 minutes" not the answer?

The dose and interval are both too low.

What concept does this question test?

It tests Paediatric emergencies: epinephrine dose in arrest in Pediatrics. 01 mg/kg IV or IO, equal to 0.1 mL/kg of the 1:10,000 solution, every 3 to 5 minutes during arrest. Higher doses do not improve outcomes.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Paediatric emergencies: epinephrine dose in arrest?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.