Adenosine

Question 1

Adenosine Trade Name?

Answer 1

Adenocard

Question 2

Adenosine Classification?

Answer 2

Class V Antidysrhythmic

Question 3

Adenosine Mechanism?

Answer 3

Binds with phosphate to prevent the formation of ATP in myocardial cells to slow conduction and interrupt AV reentry pathways

Question 4

Adenosine Indications?

Answer 4

-Hemodynamically stable supraventricular tachycardia (SVT) refractory to vagal maneuvers -Hemodynamically stable regular wide-complex tachycardia

Question 5

Adenosine Contraindications?

Answer 5

-irregular rhythms
-WPW syndrome
-hemodynamic instability

Question 6

Adenosine Side Effects/Precautions?

Answer 6

• Asystole
• Bradydysrhythmias
• Syncope
• Cardiac arrest
• Facial flushing
• Chest pain
• Shortness of breath
• Nausea
• Dizziness
• Diaphoresis

Question 7

Adenosine Adult Dose?

Answer 7

6 mg rapid IVP over 1-3 seconds followed by 20 ml NS flush If no response in 1-2 minutes, 12 mg rapid IVP over 1-3 seconds followed by 20 ml NS flush

Question 8

Adenosine Pediatric Dose?

Answer 8

0.1 mg/kg (max 6mg) rapid IVP over 1-3 seconds followed by 5-10ml NS flush
If no response in 1-2 minutes, 0.2 mg/kg (max 12 mg) rapid IVP over 1-3 seconds followed by 5-10 ml NS flush

Question 9

Adenosine Onset of Action?

Answer 9

Seconds

Question 10

Adenosine Duration of Action?

Answer 10

12 Seconds

Question 11

Adenosine Max Dose Adult/Pediatric?

Answer 11

Peds 12mg

Question 12

Adenosine Routes of Administration?

Answer 12

IV/IO

Question 13

Adenosine How Supplied?

Answer 13

6mg/2mL or 12mg/5mL vials or prefilled syringes