An 8-year-old girl develops anaphylaxis after a bee sting. Which intramuscular adrenaline dose is recommended?

Answer and explanation

Correct answer: C. 300 micrograms given as 0.3 mL of the 1 in 1000 solution

  1. Step 1: Age 8 falls within the 6 to 12 year band.
  2. Step 2: Resuscitation Council UK recommends 300 micrograms (0.3 mL of 1 in 1000) IM for ages 6 to 12 years.
Answer
300 micrograms given as 0.3 mL of the 1 in 1000 solution.
Why not the others: 30 micrograms as 0.3 mL of 1 in 10 000 into the thigh: The 1 in 10 000 preparation and the quantity are wrong for IM use. 150 micrograms as 0.15 mL of 1 in 1000 into the thigh: 150 micrograms is for under 6 years and may be ineffective at this age. 500 micrograms as 0.5 mL of 1 in 1000 into the thigh: 500 micrograms is the adult and over-12 dose.

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