Adenosine (Adenocard)

Card Set Information

Author:
quaydud3
ID:
87363
Filename:
Adenosine (Adenocard)
Updated:
2011-05-23 20:31:47
Tags:
Pharmacology
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Description:
Pharmacology
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  1. Class
    Antidysrhythmic
  2. Actions
    Decreases conduction of electrical impulses through the A-V node. Half life is 10 seconds.
  3. Indications
    Adenosine is the drug of choice for Paroxysmal Superventricular Tachycardias (PSVT)
  4. Contraindications
    Patients with second or third degree heart blocks, sick sinus syndrome, A-Fib, A-Flutter, Ventricular Tachycardia, patients with known hypersensitivity to the drug.
  5. Side Effects/Precautions
    Will cause arrhythmias at the time of cardioversion-PVC's PAC's, Sinus Brady, Varied brady's, transient Asystole may also occur; will generally last only a few seconds. Treat whatever rhythm you are presented. May cause pts with hx of asthma to have bronchospasms. Common side effects include: chest pain, flushing, headache,dyspnea, dizziness, and nausea
  6. Dosage and Administration
    • Adult: Inital dose-6mg rapid IV push in a large proximal vein as close to the heart as possible (e.g. anticubital vein). It is immediately followed by a rapid Normal Saline flush and elevation of the extremity.
    • If a second dose is necessary administer 12mg Rapid IV Push immediately followed by a rapid Normal Saline flush and elevation of the extremity.
    • Pediatric: Inital dose-0.1mg/kg rapid IV push followed by a 5ml Normal Saline flush and elevation of the extremity.
    • If a second dose is necessary administer 0.2mg/kg Rapid IV Push immediately followed by a rapid Normal Saline flush and elevation of the extremity

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