Adenosine/ (Adenocard)

  1. Class:
  2. Description:
    Naturally occurring nucleoside that slows AV conduction through the AV node
  3. Mechanism of Action
    Adenosine decreases conduction of the electrical impulses by binding up phosphate and preventing the formation of ATP within the cardiac cells
  4. Onset of Action
    • 20-30 Seconds
    • Peak Effects: 20-30 Seconds
    • Duration: 30 Seconds
    • Half-life: 10 Seconds
  5. Indications:
    Used in SVT refractory to common vagal maneuvers (Symptomatic SVT)
  6. Contraindications:
    Second or third degree heart block, sick sinus syndrome, known hypersensitivity to the drug.
  7. Precautions
    Causes dysrhythmias, Asthma Pts
  8. Side Effects
    • Facial Flushing
    • Headache
    • Shortness of Breath
    • Chest Pain
    • Dizziness
    • Nausea
  9. Adult Dose
    • 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
  10. Pedi-Dose:
    0.1mg/kg 1st dose / 0.2mg/kg 2nd and 3rd doses
  11. Max Dose:
    • Adult - 30mg
    • Not to exceed adult dose sequence
  12. Routes of Administration
  13. How Supplied:
    Pre-filled syringes and vials @ 6-12mg
Card Set
Adenosine/ (Adenocard)
Paramedic drugs