Adenosine(Adenocard)

• Antiarrhythemic
• Endogenous Nucleotide

• Slows conduction time through the AV node
• Can interupt re-entrant pathways
• Slows HR
• Acts directly on Sinus Pacemaker cells
• Drug of choice for re-entry SVT
• Can be used diagnostically for stable, wide complex Tachycardia(suspected SVT with aberrancy)

• Regular Tachycardia(narrow and wide)
• Conversion of PSVT to sinus rhythm
• May convert re-entry SVT due to Wolf-Parkinson-White syndrome
• Not effective in converting A-Fib/Flutter or V-Tach

• Torsades de Pointes(Polymorphic V-Tach)
• 2nd or 3rd heart block
• Sick sinus syndrome
• A-Fib/Flutter
• V-Tach
• Hypersensitivity
• Poison induced Tachycardia

• Facial flushing
• SOB
• C/P
• Headache
• Paresthesia
• Diaphoresis
• Palpitations
• Hypotension
• Nausea

Adult: 6mg over 1-3sec, followed by 20mL saline flush and elevate extremity. If no response after 1-2mins administer 12mg over 1-3sec. Max total dose 30mg

Peds: 0.1-0.2mg/kg rapid IV. Max single dose 12mg