What is the maximum dose of pediatric Adenosine for probable SVT?

The maximum dose of pediatric Adenosine for probable Supraventricular Tachycardia (SVT) is indeed 12 mg. Adenosine is administered in a rapid IV push, and in pediatric patients, the dosing typically starts at 0.1 mg/kg. If the initial dose is ineffective, providers may administer additional doses, up to a maximum of 12 mg.

The rationale for this dosing guideline stems from clinical practices aimed at effectively terminating SVT in children while minimizing potential side effects. The use of a higher maximum dose is supported by clinical evidence indicating that many pediatric patients may require this amount for effective conversion to normal sinus rhythm in cases of confirmed SVT.

In pediatric emergency care, it is essential to follow dosing protocols closely, as pediatric patients may have different physiological responses than adults, making appropriate dosing crucial for successful treatment outcomes.