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10 Cards in this Set

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Adenosine
Trade Name?
Adenocard®
None
Adenosine
Class?
Atrial Antiarrhythmic
None
Adenosine
How Supplied?
Rapid IV Push at the insertion site (antecubital space)
None
Adenosine
Doses?
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
None
Adenosine
Action?
1) Slows conduction through the AV node,
2) Can interrupt reentry pathways
3) Causes a transient AV block
4) Vasodilation
None
Adenosine
Indication?
PSVT (Paroxysmal supraventricular tachycardia)
None
Adenosine Precautions?
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
None
Adenosine
side effects?
1) Flushing
2) Sweating
3) Chest pain
4) Nausea/Vomiting
5) Light-headedness
6) Transient arrhythmias
7) Transient asystole
None
Adenosine
Contraindications?
1) 2° or 3° Heart block
2) A-fib or flutter
3) Sick Sinus Syndrome
4) Dipyidamole (Persantine®)
5) Organophosphate ingestion
None
Adenosine
Standing Order?
Yes
None