Adenosine (Adenocard)

Card Set Information

Author:
Kgren
ID:
133130
Filename:
Adenosine (Adenocard)
Updated:
2012-02-05 21:28:41
Tags:
Paramedic Drugs
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Description:
Paramedic Drugs
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  1. Class
    Antidysrhythmic
  2. Description
    Naturally occurring nucleoside that slows conduction through AV node
  3. Mechanism of Action
    Decreases conduction of electrical impulses by binding up phosphate and preventing the formation of ATP within the cardiac cells. Essentially interrupting the AV impulse reentry pathways in PSVT
  4. Onset if Action
    • Onset-20-30seconds
    • Peak- 20-30seconds
    • Duration- 30seconds
    • Half-life- 10seconds
  5. Indications
    Used in SVT refractory to common vagal maneuvers (symptomatic SVT)
  6. Contraindications
    • 2nd or 3rd degree heart block
    • Sick sinus syndrome
    • Know hypersensitivity to the drug
  7. Precautions/Side effects
    • Causes dysthymias
    • Caution w/ Asthma pts
    • Facial flushing, headache, shortness of breath, chest pain, dizziness, nausea
  8. Adult dose
    6mg IV Bolus. Followed by saline flush. If not corrected in 1-2 min 12mg IV Bolus. If not corrected in 1-2 min 12mg IV Bolus
  9. Pedi dose
    • 0.1mg/kg 1st dose
    • 0.2mg/kg 2nd and 3rd dose
  10. Max dose adult
    30mg
  11. Max dose Pedi
    3mg/kg
  12. Drips
    N/A
  13. Route of administration
    IV/IO
  14. How supplied
    Pre-filled syringes and 6-12mg vials

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