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Adenosine

First-line treatment for patients with supraventricular tachycardia.

Dosage & Administration

ADMINISTRATION IV (unlikely to be effective when given I/O).

  • First dose: 0.1 mg/kg (max 6 mg) rapid IV push, immediately followed by fluid bolus
  • Repeat dose: 0.2 mg/kg rapid IV push, immediately followed by fluid bolus
  • Maximum dose: 12 mg
  • Directly observe ECG monitor to observe response

PRECAUTIONS

  • Ultra-short duration of effect (less than 10 seconds)
  • May require larger doses in patients receiving caffeine or theophylline drugs

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