ADENOCARD
Adenosine
Classification:
Antidysrhythmic
Indications:
• Supraventricular Tachycardia (specifically Atrial Tachycardia)
• may try in regular wide tach (aberrant SVT)
Actions:
•Abolishes reentry, slows AV conduction
Dosage:
•6mg IV/IO rapidly, followed by saline flush. May be repeated at 12mg rapid IV if needed.
Decrease dose to half for patients taking Persantine (Dipyridamole) or Tegretol (Carbamazepine)
Route:
• IV/IO push-rapid (Adenosine has less than 10 second half life)
Side effects:
• Transient reentry dysrhythmias, chest pain, palpitations, flushing, headache
• Warn the patient that he may not feel well and push the monitor’s record button before
pushing the drug. Push…flush…fast!!