Every physician should consider having immediately available the Emergency Medicine Residents’ Association‘s PressorDex®: Critical Care Medications Guide.
In addition to today’s post, please review IV Pressors In The Treatment Of Life-Threatening Hypotension: A Minicourse
Posted on May 29, 2026 by Tom Wade MD
Adult Push Dose IV Epinephrine:
Source:
Push Dose Pressors for EMS: Epinephrine and Norepinephrine. 0:57-7:55Get a prefilled syringe of Cardiac Epinephrine [prefilled syringe of 1 mg/10ml].
Get rid of 9 ml.
REPLACE with 9 ml of saline.
Now you have 10 mcg/ml
The push dose is 2 ml of our new concentration.
Of course, the above is somewhat wasteful but with this procedure you do have a syringe labeled as epinephrine.
Another way to prepare the syringe with 10 mcg/ml is to place 1 cc of your prefilled syringe of Cardiac Epinephrine [prefilled syringe of 1 mg/10ml] into an empty 10 cc syringe. And then add 9 cc of normal saline to that syringe. And now you also have in that syringe 10 mcg/ml.
Epinephrine Infusion:
Source:
Push Dose Pressors for EMS: Epinephrine and Norepinephrine. 7:55-
