Question 1

How quickly should epinephrine be given for pediatric anaphylaxis?

Accepted Answer

Administer intramuscular epinephrine 0.01 mg/kg (maximum 0.5 mg) into the lateral thigh immediately when anaphylaxis is suspected and repeat every 5–15 minutes if symptoms persist.

Question 2

What is the initial fluid resuscitation dose for pediatric septic shock?

Accepted Answer

Give 20 mL/kg isotonic crystalloid over 5–10 minutes and reassess perfusion; up to 60 mL/kg may be delivered in the first hour while monitoring for signs of fluid overload.

Question 3

When should vasoactive agents be started in pediatric shock?

Accepted Answer

Start vasoactive support, such as norepinephrine for cold shock or epinephrine for warm shock, when perfusion remains inadequate after initial fluid resuscitation or the patient develops fluid intolerance.

Pediatric Emergency and Critical Care Management Plans