Paramedic National Registry Practice

What is the recommended pediatric dose for Adenosine?

1. 0.1-0.2 mg/kg Max 6 mg

2. 0.1-0.2 mg/kg Max 12 mg

3. 0.1 mg/kg Max 10 mg

4. 0.2 mg/kg Max 15 mg

The correct answer is: 0.1-0.2 mg/kg Max 12 mg

The recommended pediatric dose for Adenosine typically aligns with the parameters outlined in choice B, which specifies a dosage of 0.1-0.2 mg/kg, with a maximum limit of 12 mg. This guideline is crucial for safely administering Adenosine in children, as it helps ensure that the medication is effective while also minimizing the risk of potential side effects or toxicity. Adenosine is primarily used for the treatment of certain types of tachycardia, particularly supraventricular tachycardia (SVT), and dosing in pediatric patients requires careful calculation based on weight. The dosing range ensures that lower weights receive an appropriate lower dose while still allowing for higher-weight children to benefit from a maximum dosage that is clinically significant but not excessive. The maximum limit specified (12 mg) reflects a consensus from established medical protocols to ensure patient safety while providing the necessary therapeutic effect. This is an important consideration for providers in emergency settings, as it balances effectiveness against the risk of adverse reactions that may occur from overdosing, which can be particularly concerning in pediatric populations.