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Slows conduction of electrial impulse at the av node
Stable reentry SVT, not Afib flutter, or VT
Sick sinus, 2nd or 3rd degree blocks
6mg rapid IV,IO with 20 ml flush wait 1-2 minutes if no change 12mg rapid IV,IO with flush, reapeat third 12mg if no change
children less than 50kg intial dose .01mg/kg flush max dose 6mg
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