Adenosine

Antiarrhythmic

Slows conduction time through the A-V node and interrupt the reentry pathways of the A-V node. Half life of 10 seconds and does not cause a decrease in blood pressure.

• PSVT (Refractory to vagal maneuvers)
• PSVT associated with WPW

• Wide Complex Tachycardia
• Second or third degree A-V Block
• Hypersensitivity

• Palpitations
• Hypotension
• Chest Discomfort
• Headache/Dizziness
• Respiratory Distress

Initial Adult Dose: 6mg given as a rapid IVP, in closet port to the patient, with a 10 mL flush being pushed at the same time at the next port away from the patient

Repeat Adult Dose: 12mg given as a rapid IVP, in closet port to the patient, with a 10 mL flush being pushed at the same time at the next port away from the patient

May repeat the 12mg dose one more time to a max of 30mg