1. Take 1 mg of cardiac epinephrine (0.1 mg/mL) and waste 9 mL of epinephrine. |
2. Into that syringe, withdraw 9 mL of normal saline from the patient’s IV bag. Shake well. |
3. The mixture now has 10 mL of epinephrine at 0.01 mg/mL (10 mcg/mL) concentration. |
4. Use 0.5 ml (5 mcg) “pushes” IV to titrate to a systolic blood pressure > 90 mmHg. |