Adenosine (Adenocard)

Question 1

Classification:

Answer 1

-Antiarrhythmic

Question 2

Action:

Answer 2

Slows the conduction of electrical impulses at the AV node

Question 3

Indications:

Answer 3

-Stable reentry SVT
-Does not convert AF, A flutter, VT

Question 4

Adverse Effects:

Answer 4

*Common adverse reactions are generally mild and short lived
-Sense of impending doom
-Complaints of flushing, chest pressure, throat tightness, numbness
-Pts will have brief episode of asystole after administration

Question 5

Contraindiations:

Answer 5

-Sick sinus syndrome
-Second/ third degree heart block
-Poison/ drug induced tachycardia
-Asthma
-Bronchospasm

Question 6

Dosage (Adult):

Answer 6

-Initial dose: 6 mg rapid IV, IO followed by 20 mL flush
-If first dose does not eliminate the rhythm in 1 to 2 mins, administer second dose of 12 mg rapid IV, IO

Question 7

Dosage (Children greater than 110lbs):

Answer 7

-Same as adult dosing

Question 8

Dosage (Children less than 110lbs):

Answer 8

-Initial dose 0.1 mg/kg IV, IO (Max dose 6 mg)
-May repeat at 0.2 mg/kg (Max dose 12 mg)