Adenosine

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Author:
Ritameeker
ID:
206880
Filename:
Adenosine
Updated:
2013-03-12 19:19:14
Tags:
Adenosine Adenocard Antiarrythmic Class Paramedic study
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Description:
Adenosine Adenocard
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  1. Adenosine

    Names / Class
    Adenocard

    Class V Antiarrythmic
  2. Adenosine

    Mechanism of Action
    Reduces conduction of electrical impulse through the AV node and interrupts reentry pathway in PSVT.
  3. Adenosine

    Onset of Action
    Peak Effect
    Duration
    Half-Life
    • 20 - 30 seconds
    • 20 - 30 seconds
    • 30 seconds
    • 10 seconds
  4. Adenosine

    Indications
    Tachyarrythmias refractory to vagal maneuvers.
  5. Adenosine

    Contraindications
    • Irregular A-Fib
    • Polymorphic tachycardia
    • 2nd or 3rd degree heart block
    • Sick sinus syndrome
    • Known hypersensitivity to med
  6. Adenosine

    Precautions
    • Use caution in Pts with asthma
    • Arrythmias at time of cardioversion (generally lasting only a few seconds)
    • Transient asystole in extreme cases
  7. Adenosine

    Side Effects
    • Facial flushing
    • HA
    • SOB
    • Dizzyness
    • Nausea
  8. Adenosine

    Adult Dose
    • 6 mg rapid IV or IO bolus over 1 - 2 seconds followed immediately by a rapid saline flush.
    • 2nd dose after 1 - 2 minutes if needed:
    • 12 mg rapid IV or IO bolus over 1 - 2 seconds followed immediately by a rapid saline flush.
    • ***should be delivered to closest available vein to the heart***
  9. Adenosine

    Pedi Dose
    • <50 kg: 0.05 - 0.1 mg/kg (max of 0.3 mg/kg/dose) up to 12 mg.
    • >50 kg: same as adult dose.
  10. Adenosine

    Max Dose
    12 mg

    Per 2010 AHA guidelines: no more than 2 doses should be given (6 mg first dose, followed by 1 dose of 12 mg).
  11. Adenosine

    Routes / How Supplied
    IV or IO bolus directly into closest possible vein to heart

    Vial

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