Bronchospasm, hypersensitivity, anaphylaxis
Child: 0.01 mg/kg (0.01 ml/kg 1:1,000 solution) or 0.3 mg/m2 (0.3 ml/m2 1:1,000 solution) SC. Max 0.5 mg. Repeat in 20-min-4-h intervals prn. Or 0.02-0.025 mg/kg (0.004-0.005 ml/kg) or 0.625 mg/m2 (0.125 ml/m2) 1:200 solution. Repeat q 6 h prn. Or 0.1 mg (10 ml 1:100,000 dil) IV over 5-10 min, then 0.1-1.5 mcg/kg/min IV infusion.
Adult: 0.1-0.5 mg (0.1-0.5 ml 1:1,000 solution) SC or IM. Repeat q 10-15 min prn. Or 0.1-0.25 mg (1-2.5 ml 1:10,000 solution) IV over 5-10 min. Repeat q 5-15 min prn or followed by a 1-4 mcg/min IV infusion.
Bronchodilator
Child = 4 yr, adult: 1 inhalant, inhalation via metered aerosol, repeat once prn after 1 min; subsequent doses shouldnt be repeated for at least 3h. Or 1-2 deep inhalant, inhalation via hand-bulb nebulizer of % (1:00) solution; may repeat q 1-2 min. Or 0.03 ml (0.3 mg) of 1% solution via IPPB.
Cardiac arrest
Infant: 0.01-0.03 mg/kg (0.1-0.3 ml/kg 1:10,000 solution) IV bolus or by intratracheal inj. Repeat q 5 min prn.
Child: 0.01 mg/kg (0.1 ml/kg 1:10,000 solution) IV bolus or intratracheally; repeat q 5 min prn. Or 0.1 mcg/kg/min; increase by 0.1 mcg/kg/min to max 1 mcg/kg/min. Or 0.005-0.01 mg/kg (0.05-0.1 ml/kg 1:10,000 solution) by intracardiac inj.
Adult: 0.5-1 mg (range of 0.1-1 mg usually as 1-10 ml 1:10,000 solution) IV bolus; repeat q 3-5 min prn. Or initial dose followed by 0.3 mg SC or 1-4 mcg/min IV infusion. Or 1 mg (10 ml 1:10,000 solution) intratracheally, or 0.1-1 mg (1-10 ml 1:10,000 solution) by intracardiac inj.
Hemostatic use
Adult: 1:50,000-1:1,000, applied topically.
To prolong local anesthesia effect
Child, adult: 1:500,000-1:50,000 mixed with local anesthesia.
Nasal congestion, local superficial bleeding
Child, adult: Instill 1-2 drops solution. |