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
0.1mg/kg (6 mg max) Rapid IVP (BHO)
Repeat Dose
0.2 mg/kg (12 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.