Adenosine Flashcards

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1
Q

Adenosine: Class

A

Endogenous Nucleotide
Class 5 Antiarrhythmic (Misc.)

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2
Q

Adenosine: Indications

A
  • Superventricular Tachycardias (SVT & PSVT)
  • Conversion of PSVT to Normal Sinus
  • May convert due to Wolf-Parkinson-White syndrome
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3
Q

Adenosine: Contraindications

A
  • Sick Sinus Syndrome
    “Sick Sinus, Stop the Adenosine.”
  • 2nd or 3rd degree block
    “Don’t Block a Block with Adenosine”
  • V-Tach
    “Adenosine Avoids the Ventricle”
  • A-Fib/Flutter
    “Adenosine Affects AFib Badly.”
  • Hypersensitivity
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4
Q

Adenosine: Adult Dose

A

6mg IV/IO rapid bolus over 1-3 seconds, followed by NS flush.
Repeat after 1-2 minutes @ 12mg
Max dose: 18mg

“Adenosine: Start with Six, Then Double it Quick”

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5
Q

Adenosine: Pediatric Dose

A

0.1 mg/kg IV/IO (max 6mg) rapid bolus, followed by NS flush.
May repeat after 1-2 minutes @ 0.2 mg/kg. (Max single dose of 12mg)
(Max total 18mg)

“1 Then 2, Just Like You”

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