During newborn resuscitation, what is the recommended epinephrine dose when heart rate remains below 60 bpm?

During newborn resuscitation, what is the recommended epinephrine dose when heart rate remains below 60 bpm?

• A. 0.01 to 0.03 mg/kg IV or IO
• B. 0.1 to 0.3 mg/kg IV or IO
• C. 1 to 3 mg/kg IV or IO
• D. 0.001 to 0.003 mg/kg IV or IO

Answer: (A)

During newborn resuscitation, epinephrine is given when the heart rate remains below 60 bpm after initial ventilation and chest compressions to boost perfusion to the heart and brain. The recommended dose for IV or IO administration is 0.01 to 0.03 mg/kg of epinephrine, using a 1:10,000 concentration. In practical terms, that’s about 0.1 to 0.3 mL/kg given IV/IO. This dose helps increase coronary and cerebral perfusion, supporting a return of the heart rate above 60 bpm. If needed, repeat every 3 to 5 minutes during ongoing resuscitation. (Endotracheal dosing exists but differs and is less reliable.)

During newborn resuscitation, epinephrine is given when the heart rate remains below 60 bpm after initial ventilation and chest compressions to boost perfusion to the heart and brain. The recommended dose for IV or IO administration is 0.01 to 0.03 mg/kg of epinephrine, using a 1:10,000 concentration. In practical terms, that’s about 0.1 to 0.3 mL/kg given IV/IO. This dose helps increase coronary and cerebral perfusion, supporting a return of the heart rate above 60 bpm. If needed, repeat every 3 to 5 minutes during ongoing resuscitation. (Endotracheal dosing exists but differs and is less reliable.)