I have query about epinephrine. As we know that epinephrine is available in 2 strengths
Epinephrine ampule i.e. 1mg /ml 1:1000
Epinephrine epipen i.e. 1 mg ( 0.1mg/ml ) 1:10,000 ( prefilled syringe)
We know that epinephrine epipen (prefilled syringe ) is used IV for cardiac arrest . AND epinephrine 1mg/ml is used IM /SC for anaphylactic shock
My question is if Epinephrine epipen i.e. 1 mg ( 0.1mg/ml ) 1:10,000 is not available ( out of stock ) . can we use epinephrine ampule 1mg/ml i.e 1:1000 IV without dilution ? BECAUSE in case of code blue ( cardiac arrest ) there is no time for dilution of epinephrine ampule 1mg/ml in 10ml saline and then administer to the patient