Dose: Give 6 mg rapidly over 1-2 seconds then 20 ml flush.
The dose is increased to 12 mg if conversion has not occurred within one to two minutes. Half-life= 10 seconds.
1 vial = 6mg
Action: Slows conduction through the AV node. Iinterrupts AV node reentry pathways.
Use: Used for treatment of PSVT.
PSVT including PSVT associated with WPW syndrome: 6mg rapid IVP over 1-3 seconds if no response, repeat 12mg
dose in 1-2min
Counter indications: Don't give with 2 or 3 AV Blockers may cause sick sinus syndrome or VTach.
Side effects: flushing, dyspnea, chest pain resolving within 1-2 min
Transient sinus bradycardia, ventricular ectopy or even a brief period of asystole
Interaction with theophylline, methylxanthines, and dipyridamole may require dose adjustment or another drug.