"What is the classification?", "Antiarrhythmic" "What are the actions?", "• Transiently blocks conduction through the AV node<br /> • Interrupts reentry pathways through the AV node" "What are the indications?", "• Stable SVT (Supraventricular tachycardia, AVNRT atrioventricular nodal reentry tachycardia)<br /> • Consider while preparations are made prior to cardioversion" "What are the contraindications?", "• Allergy to the drug<br /> • Heart block<br /> • Drug-induced tachycardia (e.g. from cocaine)<br /> • Atrial flutter and atrial fibrillation" "What are the precautions?", "Very short duration of action; must reach the heart within 10-20 seconds" "What are the common concentrations?", "• 6mg/2mL prefilled syringe, 6mg/2ml vial<br /> • 12mg/4ml prefilled syringe, 12mg/4ml vial" "What is the adult dosage?", "• 1st Dose: 0.1 mg/kg rapid IV push (maximum dose 6 mg) with 5-10 mL flush<br /> •2nd Dose: .02 mg/kg rapid IVP (maximum dose 12 mg) with 5-10 mL flush" "What is the pediatric dosage?", "•1st Dose: 0.1 mg/kg rapid IV push (maximum dose 6 mg) with 5-10 mL flush<br /> •2nd Dose: 0.2 mg/kg rapid IVP (maximum dose 12 mg) with 5-10 mL flush" "What are the side effects?", "• Headache<br /> • Facial flushing<br /> • Chest pressure<br /> • Nausea" "What are the key points?", "• Half life less than 10 seconds<br /> • Consider diluting small medication volume of pediatric dosages with 5 mL normal saline, followed by 5-10 mL flush<br /> • Continuous ECG and attempt to capture conversion on ECG paper<br /> • Vital signs before and within 5 minutes after administration<br /> • Position patient supine, consider elevation of legs" "What is the protocol use?", "Narrow complex tachycardia"
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