Pharmacology

Question 1

What is the first line drug for stable complex SVT?

Answer 1

adenosine

Question 2

What does adenosine do?

Answer 2

Decreases automaticity; chemical cardioversion

Question 3

When can I not use adenosine in my patient?

Answer 3

Heart Blocks or poison induced tachycardia

Question 4

What are the side effects for adenosine?

Answer 4

Chest pain, flushing, asystole/bradycardia, ventricular ectopy

Question 5

What is the administration for adenosine?

Think: FAST and flush FAST

Answer 5

6mg rapid IV bolus over 1-3 seconds followed by 20 ml IVP quickly, then ELEVATE THE EXTREMITY

2nd dose of 12 mg can be given in 1-2 minutes if needed

Question 6

What should the nurse remember about administering adenosine?

Answer 6

Record strip prior to, during, and after administration

Amio can make you go into TORSADES

Question 7

In what RHYTHMS can you use adenosine?

Answer 7

VF
Pulseless VTach
that are unresponsive to shock; also used for other arrhythmias with expert consultation