What is the dosage and titration goal for Push Dose Epinephrine?

The correct dosage and titration goal for Push Dose Epinephrine is typically set to 1 ml per minute, with the titration goal being a systolic blood pressure (SBP) greater than 90 mmHg. Push Dose Epinephrine is used in scenarios such as hypotensive emergencies to quickly stabilize blood pressure.

The rationale for choosing this dosage and target is tied to maintaining adequate perfusion without causing excessive increases in blood pressure or heart rate, which could lead to adverse effects, particularly in patients with cardiac conditions.

The choice of titration to a systolic blood pressure of greater than 90 mmHg strikes a balance between ensuring sufficient perfusion to vital organs and avoiding the risks associated with overly aggressive blood pressure management. Maintaining an SBP above this threshold generally ensures that perfusion is adequate while minimizing the risk of complications.