Adenosine

Question 1

What is another name for Adenosine?

Answer 1

Adenocard

Question 2

What is the class for Adenosine?

Answer 2

Antiarrhythmic (class V)

Question 3

What is the action of Adenosine?

Answer 3

Decreases conduction of the electrical impulse through the AV node and interrupts AV reentry pathway

Question 4

What is the description of Adenosine?

Answer 4

Naturally occurring nucleoside that slows AV node conduction through the AV node

Question 5

What is the indications for Adenosine? (3)

Answer 5

1. Conversion of narrow complex tachycardia
2. PSVT refractory to vagal maneuvers (prior to cardioversion)
3. Can be used as a diagnostic agent to determine whether the condition is wide or narrow complex tachycardia

Question 6

What are the contraindications for Adenosine? (6)

Answer 6

1. A-fib
2. Torsade de pointes
3. 2nd or 3rd degree heart block
4. sick sinus syndrome
5. hypersensitivity
6. asthma

Question 7

What is the onset for Adenosine?

Answer 7

2-3 seconds

Question 8

What is the duration of Adenosine?

Answer 8

30 seconds

Question 9

What is the peak of Adenosine?

Answer 9

20-30 sec

Question 10

What is the half life of Adenosine?

Answer 10

10 seconds

Question 11

What is the dose of Adenosine?

Answer 11

1st: 6mg IVP with 20cc saline flush
2nd: 12mg IVP with 20cc saline flush

Question 12

What are the side effects of Adenosine? (9)

DD, FF, HH NBCT!

Answer 12

1. DIB 2. Dizziness
2. Facial flushing
3. Hypotension 5. headache
4. n/v
5. bronchospasms
6. chest pain
7. Transient asystole