Adenosine

Question 1

OLMC

Answer 1

None

Question 2

Supplied

Answer 2

6mg/2ml and 12mg/4ml vials or pre-fills

Question 3

Indications

Answer 3

PSVT and WPW

Question 4

Contraindications

Answer 4

1. 2nd or 3rd degree block; 2. Sick Sinus Syndrome; 3. Hypersentivity; 4. A-Fib

Question 5

Precautions

Answer 5

1. When doses larger that 12 mg are given, may cause drop in BP; 2. Antagonized by methylxanthines such as Theophyline and caffeine, may need more doses of adenosine; 3. Potentiated by dipyridamole (Persantine) resulting in prolonged asystole; 4. In the presence of carbamazepine (Tegretol), high degree heart block may occuer; 5. Wont convert A-Fib, A-Flutter, or V-Tach

Question 6

Side Effects and Notes

Answer 6

May cause facial flushing, chest pressure, N/V, headache, and lightheadedness

Question 7

Adult Dose

Answer 7

6mg then 12 mg

Question 8

Ped Dose

Answer 8

0.1mg/kg then 0.2 mg/kg, do not exceed adult dose