ADENOSINE DRUG CARDS

Question 1

ADENOSINE CLASS

Answer 1

ANTIDYSRHYTHMICS

Question 2

ADENOSINE MOA

Answer 2

SLOWS CONDUCTION THROUGH THE AV NODE, CAN INTERRUPT AV NODAL PATHWAYS

Question 3

ADENOSINE INDICATIONS

Answer 3

CONVERSION OF NARROW- COMPLEX REGULAR TACHYCARDIA (PSVT) TO SINUS RHYTHM. MAY CONVERT REENTRY SVT D/T WOLF-PARKINSONS-WHITE SYNDROME. CAN BE DIAGNOSTICALLY USED FOR STABLE, REGULAR, MONOMORPHIC WIDE COMPLEX TACHYCARDIA, IT MAY HELP DIAGNOSE THE UNDERLYING RHYTHM.

Question 4

ADENOSINE CONTRAINDICATIONS

Answer 4

2ND OR 3RD DEGREE HEART BLOCK, VT, SICK SINUS SYNDROME, KNOWN HYPERSENSITIVITY, BRONCHO CONSTRICTIVE OR BRONCHO SPASTIC LUNG DISEASE (COPD, ASTHMA), POISON OR DRUG INDUCED TACHYCARDIA, A-FIB W/ WPWS.

Question 5

ADENOSINE ADVERSE REACTIONS

Answer 5

HEADACHE, DIZZINESS, DYSPNEA, BRONCHOSPASM, DYSRHYTHMIAS, CARDIAC ARREST, PALPITATIONS, CHEST PAIN/ PRESSURE, HYPOTENSION, FACIAL FLUSHING, NAUSEA, METALLIC TASTE, PAIN IN HEAD OR NECK, PARESTHESIA, DIAPHORESIS

Question 6

IMPORTANT!!!!!!

Answer 6

ADENOSINE IS BLOCKED BY THEOPHYLLINE’S (BRONCHODILATORS), BUT POTENTIATED BY DIPYRIDAMOLE (BLOOD THINNER), CARBAMAZEPINE (ANTI SEIZURE).

Question 7

ADENOSINE DOSE

Answer 7

PSVT- 6MG IVP: RAPIDLY OVER 1-2 SECONDS (FLUSH WITH 20ML SALINE OF NACL, ELEVATE IV ARM) IF NO EFFECT IN 1- 2 MIN,MAY REPEAT ONCE @ 12MG 1-3 SECONDS

PED: 0.1MG/KG (MAX 1ST DOSE 6MG) FOLLOW W/ A 5-10ML FLUSH, SECOND DOSE: 0.2 MG/ KG (MAX SECOND DOSE 12MG) W/ A 5-10ML FLUSH

Question 8

ONSET-
PEAK-
DURATION-

Answer 8

SECONDS
SECONDS
12 SECONDS