Adenosine (Adenocard)

Question 1

Adenosine Class?

Answer 1

Antidysrhythmic

Question 2

Adenosine Action?

Answer 2

Decreases electrical conduction through the AV node without causing negative inotropic effects

Question 3

Adenosine Indications?

Answer 3

Supraventricular Tachycardia (SVT/PSVT)

Question 4

Adenosine Contraindications?

Answer 4

Hypersensitivity; bradycardia; drug induced tachycardia; 2nd or 3rd degree heart blocks; A-Fib/Flutter; V-Tach; WPW with A-Fib/Flutter

Question 5

Adenosine Onset/Duration?

Answer 5

Onset : Immediate

Duration : 10 seconds

Question 6

Adenosine Dose/Route?

Answer 6

Adult : 6mg rapid IV push followed by 20cc saline flush
Can repeat in 1 min at 12mg rapid IV push followed by 20cc saline flush

Peds : 0.1mg/kg (Max 6mg) IV/IO followed by 5 - 10cc saline flush. Can repeat in 1 min at 0.2mg/kg (Max 12mg) IV/IO followed by 5 - 10cc saline flush

Question 7

Adenosine Side Effects?

Answer 7

Dizziness, headache, shortness of breath, hypotension, flushing, palpitations, chest pain, nausea/vomiting

Question 8

Adenosine Notes?

Answer 8

Methyl xanthine classified stimulants (Caffeine) usage will antagonize adenosine