Endotracheal Concentration of adrenaline in CPR for pediatric is: September 2012
## **Core Concept**
The question pertains to the use of adrenaline (epinephrine) during cardiopulmonary resuscitation (CPR) in pediatric patients, specifically focusing on the dosage when administered endotracheally. Adrenaline is a critical medication in CPR, used to stimulate the heart when it has stopped beating.
## **Why the Correct Answer is Right**
The correct answer, **1:10,000**, reflects the concentration of adrenaline that is recommended for endotracheal administration during pediatric CPR. When given endotracheally, the dose of adrenaline is typically higher than when administered intravenously or intraosseously due to the slower absorption and potential for increased pulmonary sequestration. The American Heart Association (AHA) and other international guidelines provide recommendations on the use of adrenaline in CPR, including dosing and concentration.
## **Why Each Wrong Option is Incorrect**
- **Option A: 1:1000** - This concentration is typically used for intramuscular injection in anaphylaxis and not recommended for endotracheal administration during CPR.
- **Option B: 1:10000** is actually the correct option but let's evaluate the rest:
- **Option C: 1:100** - This is far too concentrated and not used for any standard administration route in CPR.
- **Option D: 1:20000** - Although higher concentrations might be considered in specific contexts, 1:10,000 is the established concentration for endotracheal use.
## **Clinical Pearl / High-Yield Fact**
A critical point to remember is that when adrenaline is administered through the endotracheal route during CPR, the dose is typically 2-3 times higher than the intravenous dose, but the concentration **1:10,000** is specifically recommended. This higher dose compensates for the reduced absorption and bioavailability associated with endotracheal administration.
## **Correct Answer: B. 1:10,000.**