NRP 9th Ed · Lesson 7 · Medications
Neonatal Epinephrine Dose
Enter a weight and read the volume to draw. Epinephrine 1:10,000 (0.1 mg/mL), the only concentration NRP uses in the delivery room.
Birth weight
Volume to draw
0.60mL
- Dose
- 0.02 mg/kg
- Total
- 0.060 mg
- Draw in
- 1 mL syringe
1 mL barrel
Graduations every 0.05 mL
Then flush with 3 mL of 0.9% normal saline, given rapidly.
Every dose at this weight
scale 0 – 3.00 mLWhen to give it
- Indication
- HR < 60 bpm after at least 30 s of adequate PPV and chest compressions
- Concentration
- 1:10,000 = 0.1 mg/mL epinephrine HCl
- Preferred access
- Umbilical venous catheter, or intraosseous
- Repeat IV / IO
- Every 3–5 minutes while HR stays under 60 bpm
- Repeat ETT
- One dose only, then switch to IV / IO once access is in
- After each IV / IO dose
- Flush with 3 mL of 0.9% normal saline, rapidly
Clinical decision support only. This calculator implements epinephrine dosing from the NRP 9th Edition (American Academy of Pediatrics / American Heart Association). Verify every dose against your institution's protocol and the NRP Provider Textbook. PediaSuite is not affiliated with the AAP or AHA.