In this post, I link to and embed Dr. Larry Mellick‘s Pediatric Pulse Dose Pressor Administration, Sep 29, 2014.
Dr. Mellick writes
In this video we demonstrate the administration of intravenous epinephrine as pulse doses instead of a continuous infusion. This technique can be used for hypotensive anaphylaxis, as intermittent doses before the pressor infusion is started, or for unstable patients about to be intubated. Volume replacement typically will precede these pulse doses for most conditions.
After we’ve prepared our push dose epinephrine syringe (1 ml of 1:10000 from the cardiac epinephrine syringe in 9 ml of normal saline which gives us a 1:100000 epinephrine syringe [concentratiom in our push dose epinephrine syringe is 10 mcg per ml].