Medication | Recommended dosage (IV) |
Adenosine | 6 mg rapid bolus; if not effective within one to two minutes, give 12 mg; if not effective within 1 to 2 minutes, may repeat 12 mg. |
Metoprolol | 1.0 to 5 mg bolus over two minutes; may repeat two times. |
Esmolol | 1 mg/kg initial bolus, followed by 150 mcg/kg per minute infusion. |
Verapamil | 0.07 to 0.15 mg/kg (usually 5 to 10 mg/dose [maximum 10 mg]) IV over two to three minutes; may repeat once every 15 to 30 minutes if necessary. If no response, start 0.005 mg/kg per minute infusion. |
Diltiazem | 0.25 mg/kg bolus over two minutes; start 5 to 15 mg/hour infusion. |
Amiodarone | 150 mg IV bolus over 10 minutes, then start infusion at 1 mg/min for six hours, followed by 0.5 mg/min for 18 hours. |
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