Adenosine

Question 1

Adenosine: Alternate name

Answer 1

Adenocard

Question 2

Adenosine: Class

Answer 2

Antiarrhythmic

Question 3

Adenosine: Action

Answer 3

• slows electrical conduction through AV node, and interrupts re-entry pathways…. converting SVT into Normal Sinus Rhythm (NSR)

Question 4

Adenosine: Onset and Duration

Answer 4

Onset: within 30 seconds

Duration: 1-2 minutes

Question 5

Adenosine: Indications

Answer 5

Adult:
- SVT

PEDS:
- unstable SVT

Question 6

Adenosine: Dosage/Route (adult)

Answer 6

SO:
6mg rapid IV/IO ** followed WITH: rapid 20ml of Normal Saline
12mg rapid IV/IO.. followed with rapid 20ml NS
- MR x1 in 1-2” (if no sustained rhythm change)

BHO if patient has history of bronchospasm or COPD

Question 7

Adenosine: When is adult dosing BHO

Answer 7

If patient has history of bronchospasm or COPD

Question 8

Adenosine: Dosage/Route - PEDS:

Answer 8

BHPO:

• 1st dose PDC, rapid IV ** followed WITH 20ml Normal Saline
• 2nd dose PDC, rapid IV, followed with rapid 20ml NS
  - MR x1 if no sustained rhythm change (BHPO)

Question 9

Adenosine: Contraindications

Answer 9

• 2nd and 3rd degree AV heart block

- sick sinus syndrome (without pacemaker)

Question 10

Adenosine: Side Effects

Answer 10

• SOB/dyspnea; may cause bronchospasm in COPD patients
• chest pressure/palpitations
• facial flushing/headache
• Dizzy/lightheaded
• Nausea
• transient arrhythmia

Question 11

Adenosine: Packaging

Answer 11

6mg/2ml

Question 12

Adenosine: Half life

Answer 12

< 10 seconds

Question 13

Adenosine: * pinch tube when administering

Answer 13

• pinch tube when administering