Final answer:
In the context of pediatric tachycardia with a narrow QRS complex, the next step is to administer adenosine.
Step-by-step explanation:
In the context of pediatric tachycardia with a pulse and poor perfusion, if the QRS complex is narrow, the next step in the algorithm would be to administer adenosine (a). Adenosine is a medication commonly used to treat narrow complex tachycardias by blocking the electrical conduction in the heart and temporarily slowing down the heart rate. It is given intravenously and acts quickly to restore a normal heart rhythm.