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MED-Adenosine
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Functional Class
Antidysrhythmic
Mechanism of Action
Naturally occurring nucleoside
Decreases conduction through the AV node
Interrupts AV and SA re-entry pathways restoring NSR in patients with SVT
Indications
SVT refractory to vagal maneuvers including WPW
Contraindications
Hypersensitivity
2nd and 3rd Degree blocks
Symptomatic bradycardia
Sick sinus syndrome
Precautions
Use semi-fowler's position as patients will usually develop dysrhythmias at time of conversion
Asthma
Side Effects
Syncope
Dizziness
Dyspnea
N/V
Headaches
Palpitations
CP
Hypotension
Dysrhythmias
Interactions
Caffiene and Xanthines (aminophylline or theophylline) may require higher dose
Dipyridamole and Carbamazepine may need smaller doses
Dose/Route
ADULT
6 mg rapid IVP followed by 10-20 mL NS flush
If no conversion in 1-2 minutes administer
12 mg rapid IVP followed by 10-20 mL NS flush
If no conversion in 1-2 minutes administer
12 mg rapid IVP followed by 10-20 mL NS flush
PEDI
0.1 mg/kg IVP/IO (max single dose 6 mg)
May repeat once in 1-2 mins
0.2 mg/kg IVP/IO (max second dose 12 mg)
Pharmacokinetics
Onset=Rapid
Half-Life= approximately 10 seconds
Author
amerelman
ID
19361
Card Set
MED-Adenosine
Description
MED-Adenosine
Updated
2010-05-15T19:19:48Z
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