Adenosine

Adenocard

Class V Antiarrythmic

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

• 20 - 30 seconds
• 20 - 30 seconds
• 30 seconds
• 10 seconds

Tachyarrythmias refractory to vagal maneuvers.

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

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

• Facial flushing
• HA
• SOB
• Dizzyness
• Nausea

• 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***

• <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.

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).

IV or IO bolus directly into closest possible vein to heart

Vial