Adenocard
Adenocard (adenosine injection) is an intravenous antiarrhythmic agent. It acts rapidly by slowing conduction time through the AV node, interrupting AV nodal re-entry pathways, and restoring normal sinus rhythm in patients with PSVT.
Dosage by Body Weight
For rapid bolus intravenous use only. Administer directly into a vein or the closest proximal IV port over 1 to 2 seconds, followed immediately by a rapid saline flush. Adult dosing: Initial dose is 6 mg. If PSVT is not eliminated within 1 to 2 minutes, give 12 mg. The 12 mg dose may be repeated a second time if necessary.
- Body Weight
- Below 5 kg
- Dose
- 0.05 to 0.1 mg/kg (approx. 0.15 mg to 0.5 mg)
- Frequency
- Single rapid IV bolus
- Tracking Notes
- Administer under strict cardiac monitoring. May increase by 0.05 to 0.1 mg/kg increments if ineffective.
- Body Weight
- 5-7 kg
- Dose
- 0.25 mg to 0.7 mg
- Frequency
- Single rapid IV bolus
- Tracking Notes
- If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg.
- Body Weight
- 8-10 kg
- Dose
- 0.4 mg to 1.0 mg
- Frequency
- Single rapid IV bolus
- Tracking Notes
- If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg.
- Body Weight
- 11-15 kg
- Dose
- 0.55 mg to 1.5 mg
- Frequency
- Single rapid IV bolus
- Tracking Notes
- If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg.
- Body Weight
- 16-20 kg
- Dose
- 0.8 mg to 2.0 mg
- Frequency
- Single rapid IV bolus
- Tracking Notes
- If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Below 5 kg | 0.05 to 0.1 mg/kg (approx. 0.15 mg to 0.5 mg) | Single rapid IV bolus | Administer under strict cardiac monitoring. May increase by 0.05 to 0.1 mg/kg increments if ineffective. |
| 5-7 kg | 0.25 mg to 0.7 mg | Single rapid IV bolus | If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg. |
| 8-10 kg | 0.4 mg to 1.0 mg | Single rapid IV bolus | If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg. |
| 11-15 kg | 0.55 mg to 1.5 mg | Single rapid IV bolus | If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg. |
| 16-20 kg | 0.8 mg to 2.0 mg | Single rapid IV bolus | If first dose is ineffective within 1-2 minutes, may repeat with an increased dose of 0.2 mg/kg. |
Formulation
Purpose
Restoration of normal sinus rhythm in patients with paroxysmal supraventricular tachycardia (PSVT), including those associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome).
Generic Name
AdenosineScheduled Drug
Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.