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34 Cards in this Set
- Front
- Back
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Generic name |
Adenosine |
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Trade |
Adenocard |
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Class |
Antidysrhythmic |
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Mechanism of Action |
Slows conduction through the AV node; can interrupt reentry AV nodal pathways |
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Indications |
Conversion of narrow-complex regular tachycardia to sinus rhythm |
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Indications |
May convert reentry SVT due to WPW syndrome |
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Indications |
Can be used diagnostically for stable, regular, monomorphic wide-tachycardia. Adenosine may treat the ventricular tachycardia or it may help diagnose the underlying rhythm. |
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Contraindications |
Known hypersensitivity |
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Contraindications |
2nd or 3rd degree AV block or sick sinus syndrome or other sinus node disease unless a functioning pacemaker is present |
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Contraindications |
Bronchoconstrictive or bronchospastic lung disease (asthma; COPD) |
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Contraindications |
Poison or drug induced tachycardia |
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Side effects |
Headache |
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Side effects |
Dizziness |
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Side effects |
Dyspnea |
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Side effects |
Bronchospasm |
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Side effects |
Dysrhythmia |
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Side effects |
Palpitations |
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Side effects |
Hypotension |
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Side effects |
Chest pain |
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Side effects |
Cardiac arrest |
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Side effects |
Nausea |
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Side effects |
Paresthesia |
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Side effects |
Diaphoresis |
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1st Adult Dose |
6mg rapid IV bolus over 1-3 seconds followed by a 10mL saline flush and elevate the extremity |
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2nd Adult Dose |
If no response after 1-2 minutes, administer 12 mg rapid IV bolus over 1-3 seconds followed by a 10mL saline flush and elevate the extremity |
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3rd Adult Dose |
If no response after 1-2 minutes, administer 12 mg rapid IV bolus over 1-3 seconds followed by a 10mL saline flush and elevate the extremity |
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1st Peds Dose |
0.1mg/kg rapid IV/IO push (max dose of 6mg) followed by a 5-10mL saline flush |
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2nd Peds Dose |
0.2mg/kg rapid IV/IO push (max dose 12mg) followed by a 5-10mL saline flush |
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3rd Peds Dose |
0.2mg/kg rapid IV/IO push (max dose 12mg) followed by a 5-10mL saline flush |
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Special considerations |
Not effective in converting afib, aflutter, or vtach |
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Special considerations |
A brief period of systole may occur during pharmacologic conversion |
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Special considerations |
Reduce the dose by 1/2 in patients on dipyridamole (persantine), carbamazepine (Tegretol), those with traansplanted hearts, or if administered via central IV line. |
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Pregnancy category |
C |
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Pregnancy category |
Use only in pregnant patient if clearly indicated |
