Adenosine

Front 1

Adenosine
Trade Name?

Back 1

Adenocard®

Hint 1

None

Front 2

Adenosine
Class?

Back 2

Atrial Antiarrhythmic

Hint 2

None

Front 3

Adenosine
How Supplied?

Back 3

Rapid IV Push at the insertion site (antecubital space)

Hint 3

None

Front 4

Adenosine
Doses?

Back 4

Adults: 12 mg rapid IV push followed by a rapid 20 mL NS flush, Repeat doses (if indicated) are 12 mg IV push followed immediately by a rapid 20 mL NS flush,

Pediatric: Contact Biotel

Hint 4

None

Front 5

Adenosine
Action?

Back 5

1) Slows conduction through the AV node,
2) Can interrupt reentry pathways
3) Causes a transient AV block
4) Vasodilation

Hint 5

None

Front 6

Adenosine
Indication?

Back 6

PSVT (Paroxysmal supraventricular tachycardia)

Hint 6

None

Front 7

Adenosine Precautions?

Back 7

1) Assure rhythm is not ventricular in origin
2) Explain side effects to pt
3) Monitor pt and ECG continuously
4) Use with caution for COPD, CHF and CAD pt
5) Notify Biotel prior to admin if the following are present:
. a) Asthma pt taking bronchodilators (theophylline preparations)
. b) Seizure pt taking carbamazepine (Tegretol)
. c) Recent Caffeine ingestion

Hint 7

None

Front 8

Adenosine
side effects?

Back 8

1) Flushing
2) Sweating
3) Chest pain
4) Nausea/Vomiting
5) Light-headedness
6) Transient arrhythmias
7) Transient asystole

Hint 8

None

Front 9

Adenosine
Contraindications?

Back 9

1) 2° or 3° Heart block
2) A-fib or flutter
3) Sick Sinus Syndrome
4) Dipyidamole (Persantine®)
5) Organophosphate ingestion

Hint 9

None

Front 10

Adenosine
Standing Order?

Back 10

Yes

Hint 10

None