Adenosine Flashcards

1
Q

Adenosine: Alternate name

A

Adenocard

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2
Q

Adenosine: Class

A

Antiarrhythmic

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3
Q

Adenosine: Action

A
  • slows electrical conduction through AV node, and interrupts re-entry pathways…. converting SVT into Normal Sinus Rhythm (NSR)
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4
Q

Adenosine: Onset and Duration

A

Onset: within 30 seconds

Duration: 1-2 minutes

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5
Q

Adenosine: Indications

A

Adult:
- SVT

PEDS:
- unstable SVT

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6
Q

Adenosine: Dosage/Route (adult)

A

SO:
6mg rapid IV/IO ** followed WITH: rapid 20ml of Normal Saline
12mg rapid IV/IO.. followed with rapid 20ml NS
- MR x1 in 1-2” (if no sustained rhythm change)

BHO if patient has history of bronchospasm or COPD

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7
Q

Adenosine: When is adult dosing BHO

A

If patient has history of bronchospasm or COPD

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8
Q

Adenosine: Dosage/Route - PEDS:

A

BHPO:

  • 1st dose PDC, rapid IV ** followed WITH 20ml Normal Saline
  • 2nd dose PDC, rapid IV, followed with rapid 20ml NS
    - MR x1 if no sustained rhythm change (BHPO)
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9
Q

Adenosine: Contraindications

A
  • 2nd and 3rd degree AV heart block

- sick sinus syndrome (without pacemaker)

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10
Q

Adenosine: Side Effects

A
  • SOB/dyspnea; may cause bronchospasm in COPD patients
  • chest pressure/palpitations
  • facial flushing/headache
  • Dizzy/lightheaded
  • Nausea
  • transient arrhythmia
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11
Q

Adenosine: Packaging

A

6mg/2ml

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12
Q

Adenosine: Half life

A

< 10 seconds

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13
Q

Adenosine: * pinch tube when administering

A
  • pinch tube when administering
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