What are Adenosine's Indication(s) and contraindication(s)?
Indication: Supraventricular tachycardia
Contraindications: Second or third degree block, Sick sinus syndrome
Sick sinus syndrome is the name for a group of arhythmias, in which the sinus node doesn't work properly. This includes sinus arrest, sinus node exit block, sinus bradycardia, and other types of bradycardia.
What are the seven side effects of Adenosine?
2: Chest pain
3: Shortness of breath
4: Facial flushing
5: Head Ache
1) What arrhythimas are usually associated with Adenosine administration?
2) What is the dosage for Adenosine?
1) PVCs, PACs, Bradycardia, tachycardia, AV Block, or Asystole
2) A: 6mg rapid IV push (1-2 sec) flushed rapidly with 20ccs NS
B: If no response observed within 1-2 min. repeat at 12 mg rapid IV push (1-2 seconds) flushed with 20ccs NS
What is Adenosines pediatric dose?
0.2mg/kg rapid IV push (repeat same dose if SVT persists)
Patients taking _______________ are less sensitive to Adenosine and may require larger doses.
Per our protocols, these patients are more sensitive to Adenosine and usually require lower doses.
Cardiac transplant patients
What is Albuterols pharmacology and actions?
It is a sympathomimetic that is relatively selective for Beta 2 adrenergic receptors. It is an effective bronchodilator with relatively few cardiovascular effects. The duration of action may be between 4-6 hours.
What are Albuterols indications:
2: Bronchospasm (COPD, emphysema)
2: Bronchospasm assiciated with anaphylaxis
What are the 4 listed precautions to Albuterol administration?
1: Discontinue if patient develops chset pain or arrhytmias 2: Administer with caution to patients with CAD or hypertension 3: Administer with caution to patients with hyperthyroidism, diabetes, or seizures 4: May result in paradoxial bronchospasm - discontinue immediately
What are the listed side effects to Albuterol administration?