Adenosine

Question 1

Adenosine: Class

Answer 1

Endogenous Nucleotide
Class 5 Antiarrhythmic (Misc.)

Question 2

Adenosine: Indications

Answer 2

• Superventricular Tachycardias (SVT & PSVT)
• Conversion of PSVT to Normal Sinus
• May convert due to Wolf-Parkinson-White syndrome

Question 3

Adenosine: Contraindications

Answer 3

• Sick Sinus Syndrome
  “Sick Sinus, Stop the Adenosine.”
• 2nd or 3rd degree block
  “Don’t Block a Block with Adenosine”
• V-Tach
  “Adenosine Avoids the Ventricle”
• A-Fib/Flutter
  “Adenosine Affects AFib Badly.”
• Hypersensitivity

Question 4

Adenosine: Adult Dose

Answer 4

6mg IV/IO rapid bolus over 1-3 seconds, followed by NS flush.
Repeat after 1-2 minutes @ 12mg
Max dose: 18mg

“Adenosine: Start with Six, Then Double it Quick”

Question 5

Adenosine: Pediatric Dose

Answer 5

0.1 mg/kg IV/IO (max 6mg) rapid bolus, followed by NS flush.
May repeat after 1-2 minutes @ 0.2 mg/kg. (Max single dose of 12mg)
(Max total 18mg)

“1 Then 2, Just Like You”