What is the role of adenosine in the treatment of children with sinus tachycardia?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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If vagal maneuvers are unsuccessful and the patient has IV or IO access, then chemical cardioversion with adenosine is indicated. The regimen is as follows:

  • Push adenosine 0.1 mg/kg (not to exceed 6 mg)

  • If unsuccessful, second dose of 0.2 mg/kg (not to exceed 12 mg)

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