Adenosine Flashcards
1
Q
Adenosine: Class
A
Endogenous Nucleotide
Class 5 Antiarrhythmic (Misc.)
2
Q
Adenosine: Indications
A
- Superventricular Tachycardias (SVT & PSVT)
- Conversion of PSVT to Normal Sinus
- May convert due to Wolf-Parkinson-White syndrome
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
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”
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”