Term
|
Definition
Anti-dysrhythmic
&
Endogenous Nucleotide |
|
|
Term
Site of action for
Adenosine |
|
Definition
Slows Tachy rhythms associated with the
AV node via modulation of the autonomic N.S.
&
Slows conduction through the AV node and blocks re-entry pathways through the AV node |
|
|
Term
Adenosine
Onset & Half-life |
|
Definition
Onset = 30 seconds
Half-life = 10 seconds |
|
|
Term
|
Definition
-Slows tachycardia associated with the AV node
-Slows conduction through the AV node
-Blocks re-entry pathways through the AV node |
|
|
Term
Indications for
Adenosine
|
|
Definition
-SVT (refractory to vagal maneuvers)
-Stable monomorphic wide complex tachycardias
(that could be atrial in origin) |
|
|
Term
Contraindications of
Adenosine |
|
Definition
- Known A-Fib
- 2nd of 3rd degree heart blocks
- sick sinus syndrome
- known hypersensitivity
- Prego ( c )
- Regular wide complex tachy's |
|
|
Term
|
Definition
|
|
Term
Adult dose for:
Adenosine |
|
Definition
6 mg rapid IV push followed by 20 cc flush
(and elevate extremity)
After 1-2 minutes - 12 mg (same RIVP, etc.) |
|
|
Term
Pediatric dose for:
Adenosine |
|
Definition
0.1 mg/kg (RIVP) - Max 6 mg 1st dose
If no effect after 1-2 minutes...
0.2 mg/kg - Max 12 mg single
Total max of 18 mg |
|
|
Term
|
Definition
May cause refractory bronchospasms so use with caution in pt's with COPD and asthma |
|
|
Term
Side effects for:
Adenosine |
|
Definition
-Flushing
-Dyspnea
-Chest pain |
|
|
