Adenosine

ADULT:   

Supraventricular Tachycardia (SVT) / Narrow Complex Tachycardia

 

12 mg rapid Rapid IVP

In port closest to the pt. core followed by a rapid flush of 10 ml NS;If tachycardia > 150 persists after 2 min., repeat Adenosine 12 mg RIVP once in 3 min.        

PEDS:      

Supraventricular Tachycardia (SVT) / Narrow Complex Tachycardia

    

0.2 mg/kg (6 mg max) Rapid IVP (BHO)

In port closest to the pt. core followed by a rapid flush of 5 ml NS.  Raise arm during IVP.  May repeat in 2 minutes 0.2 mg/kg (max dose 12 mg).

**For 6 mg dose, discard 6mg of the 12 mg dose prior to administration** 

BHO for Peds.

INDICATIONS:

- SVT is defined as a regular, narrow QRS complex rhythm with a rate of 150 bpm or above.

 

- PSVT in a conscious pt. with signs and/or symptoms of cardiac ischemia or poor perfusion including chest pain, SOB, pulmonary congestion or CHF, hypotension or shock, altered skin signs, decreased capillary refill.

 

PRECAUTIONS / COMMENTS:

- Most common side effects are chest pressure and facial flushing.

 

- Persantine (Dipyridamole) and Tegretol (Carbamazepine) potentiate Adenosine - BHO.

 

- Theophylline may render Adenosine ineffective - BHO.

 

- Extreme caution in cardiac transplant recipients may have persistent asystole.

 

- Reactive airway disease (Asthma, COPD) may develop bronchospasm.

 

- Adenosine should not be given to patients with severe asthma - BHO.

 

Call

M: 949-769-1162

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