Adenosine/ (Adenocard)

Antidysrhythmic

Naturally occurring nucleoside that slows AV conduction through the AV node

Adenosine decreases conduction of the electrical impulses by binding up phosphate and preventing the formation of ATP within the cardiac cells

• 20-30 Seconds
• Peak Effects: 20-30 Seconds
• Duration: 30 Seconds
• Half-life: 10 Seconds

Used in SVT refractory to common vagal maneuvers (Symptomatic SVT)

Second or third degree heart block, sick sinus syndrome, known hypersensitivity to the drug.

Causes dysrhythmias, Asthma Pts

• Facial Flushing
• Headache
• Shortness of Breath
• Chest Pain
• Dizziness
• Nausea

• 6 mg IV Bolus
• If not corrected SVT within 1-2 min 12 mg IV Bolus,
• If not correct SVT within 1-2 min a third 12mg IV Bolus is needed

0.1mg/kg 1st dose / 0.2mg/kg 2nd and 3rd doses

• Adult - 30mg
• Not to exceed adult dose sequence

IV

Pre-filled syringes and vials @ 6-12mg