Class
Endogenous Nucleotide
Mechanism of Action
Slows conduction through AV node
Can interrupt re-entrant pathways
Acts directly on pacemaker cells
Indications
SVT/PSVT
Contraindications
2nd or 3rd degree block
Sick Sinus Syndrome
Atrial Fibrillation / Atrial Flutter
Ventricular Tachycardia
Allergy
Adult dose
6 mg over 1-3 seconds
If no response after 1 - 2 minutes
12 mg over 1-3 seconds
Max dose of 30 mg
Pediatric Dose
Refer to length/weight based tape
Special Considerations
Short half life limits side effects in most patients
Pregnancy category C