Adenosine

Question 1

Adenosine

Name

Answer 1

Adenocard

Question 2

Adenosine

Class

Answer 2

antidysrhythmic

Question 3

Adenosine

Description

Answer 3

Adenosine can “chemically cardiovert” PSVT to a normal sinus rhythm. It has a half life of 10 seconds and does not cause hypotension

Question 4

Adenosine

Indications

Answer 4

Narrow, complex paroxysmal supraventricular tachycardia refractory to vagal manuevers

Question 5

Adenosine

Contraindications

Answer 5

Atrial fibrilation, 2nd or 3rd degree heart block, sinus node disease, or asthma

Question 6

Adenosine

Precautions

Answer 6

It may cause transient dysrhythmias especially asystole. COPD

Question 7

Adenosine

Dosage/Route

Answer 7

6mg rapidly (over 1-2 seconds) then flush the line rapidly with saline. if ineffective, 12 mg in 1 to 2 minutes may be repeated.

Pedi: 0.1 mg/kg (over 1-2sec) IV, followed by rapid saline flush, then 0.2 mg/kg in 1 to 2 minutes to max 12mg