The patient is a 1-month-old infant with stable supraventricular tachycardia (SVT) at a rate of 250 beats/min. She weighs 6 kg. How much adenosine should be given?
a. 0.05 mg rapid IV push c. 0.6 mg rapid IV push
b. 0.1 mg rapid IV push d. 0.5 mg rapid IV push
C
If the child in SVT is unstable and shows signs of decreased cardiac output and poor perfusion, immediate treatment is indicated. If the child has IV access readily available, then adenosine 0.1 mg/kg should be administered up to a maximum of 6 mg rapid bolus. This dose can be doubled up to maximum of 12 mg for a second dose.
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