Adenosine Flashcards
1
Q
Adenosine Class
A
AntiArrhythmic Agent
2
Q
Adenosine Description
A
Antiarrhythmic agent used to treat Supraventricular Tachycardia
3
Q
Adenosine Presentation
A
6mg in 2ml
3mg/ml solution for infusion vials
4
Q
Adenosine Administration
A
Intravenous IV
5
Q
Adenosine Indications
A
Paroxysmal Supraventricular Tachycardia (>150) with signs of poor perfusion
6
Q
Adenosine Contra-indications
A
KSAR Asthma COPD Decompensated Heart Failure Severe Hypotension Wolff-Parkinson-White Syndrome Long QT Syndrome 2º and3º AV Block Sick Sinus (unless pacemaker fitted)
7
Q
Adenosine Dose
A
6mg IV
Repeat @ 12mg x 2 Max
8
Q
Adenosine Pharmacology / Action
A
Rapid reversion to sinus rhythm of paroxysmal Supraventricular tachycardia
9
Q
Adenosine Side Effects
A
Angina (discontinue Apprehension - arrhythmia (discontinue if asystole or severe bradycardia occur) AV Block Dizziness Dyspnoea Flushing Headache Nausea Sinus Pause
Uncommon:
Blurred Vision / Hyperventilation / Metallic Taste / Palpitation / Sweating / Weakness
10
Q
Adenosine Cautions
A
Atrial Fibrillation with accessory pathway Atrial Flutter with accessory pathway Autonomic Dysfunction Bundle Branch Block 1º AV Block Heart Transplant Recent MI Severe Heart Failure Stenotic Valvular Heart Disease Uncorrected Hypovolaemia
