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Adenosine is indicated for narrow-complex supraventricular tachycardia or SVT, unstable narrow-complex reentry tachycardia, regular and monomorphic wide-complex tachycardia, and as a diagnostic maneuver for stable narrow-complex SVT. Adenosine is effective in terminating narrow complex SVT due to reentry involving the AV node or Sinus node. It’s important to note that Adenosine does not convert atrial fibrillation, atrial flutter or ventricular Tachycardia known as V-tach. The initial bolus of 6mg is given rapidly over 1 to 3 seconds followed by a normal saline bolus of 20ml. A second dose of 12mg can be given in 1 to 2 minutes if needed.