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Flashcards in ACLS Drugs Deck (9)
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1

Drug classification for adenosine

Antidysrhythmic (class V) / Nucleoside

2

MOA for Adenosine

Adenosine (A1) R-agonist - Slow AV conduction by activation of G protein 2nd messenger, decreasing CaMP, and inhibiting calcium entry into the cardiac pacemaker cells

3

Pharmacokinetics for Adenosine

Onset : Immediate
Peak : immediate
Duration : 30-45 seconds
Half : 6 seconds

4

Indications for adenosine

SVT (PSVT) / Narrow Complex Tachycardia
Diagnostic maneuver : stable narrow complex tachycardia
Wide regular monomorphic tachycardia

5

Contraindications for Adenosine

2/3 heart blocks, sick sinus syndrome, polymorphic VT ( Torsades )
Poison / chemical induced SVT ( ex. Cocaine)

6

Side effects for Adenosine

Facial flushing, HA, chest pain, dizziness

7

Adult Dose for Adenosine

1st dose : 6mg rapid IV/IO (proximal vein) followed by 20cc NS flush
2nd dose : 12 mg rapid IV/IO (proximal vein) followed by 20cc NS flush

8

Pediatric dose for adenosine

1st dose : 0.1mg/kg rapid IV/IO (proximal vein) max 6mg
2nd dose : 0.2mg/kg rapid IV/IO max 12mg

9

Trade name for Adenosine

Adenocard