adenosine

Question 1

Trade names for adenosine

Answer 1

Adenocard

Question 2

Class for adenosine

Answer 2

Antidysrhythmic

Question 3

Standard supplies for adenosine

Answer 3

Prefilled syringe

Vial

Question 4

MOA for adenosine

Answer 4

Slows atrioventricular conduction

Question 5

Indications for adenosine

Answer 5

Supraventricular tachycardia
Wolff-Parkinson-White (WPW) syndrome
Monomorphic wide-complex tachycardia

Question 6

Contraindications for adenosine

Answer 6

A-Fib
Atrial Flutter
Polymorphic ventricular tachycardia (Torsades de Pointes)
Second and Third degree heart block

Question 7

Adverse Reactions to adenosine

Answer 7

Transient dysrhythmias
Chest pain
Palpitations
Nausea
Dyspnea
Dizziness
Hypotension
Blurred vision
Cardiac arrest
Asystole

Question 8

Routes of administration for adenosine

Answer 8

IV

IO

Question 9

Onset/Peak/Duration for adenosine

Answer 9

O: 20-30 seconds
P: 20-30 seconds
D: 30 seconds

Question 10

Adult Dosages for adenosine

Answer 10

6.0mg RAPID bolus over 1-3 seconds followed by 20 mL normal saline flush

If no response to initial bolus after 1-2 minutes, administer 12 mg RAPID bolus over 1-3 seconds followed by 20 mL normal saline flush

Question 11

Pediatric dosages for adenosine

Answer 11

0.1 mg/kg (up to 6.0 mg) RAPID bolus over 1-3 seconds followed by 5-10 mL normal saline flush

If no response to initial bolus after 1-2 minutes, administer 0.2 mg/kg (up to 12 mg) RAPID bolus over 1-3 seconds followed by 5.0-10 mL normal saline flush

Question 12

Special considerations for adenosine

Answer 12

Constant monitoring of the patients cardiac rhythm is required during administration of the drug
The half life is 6-10 seconds