Adenosine

Question 0

Indications and field use of Adenosine

Answer 0

Conversion of SVT with no A Fib or Flutter

Wide complex tachycardia of uncertain origin unresponsive to Lidocaine

Question 1

Mechanisms of action for Adenosine

Answer 1

Slows conduction time through AV node
Slows sinus rate
Larger doses can decrease BP by decreasing peripheral resistance

Question 2

Contraindications of Adenosine

Answer 2

Bradycardia
Sick sinus syndrome, 2nd or 3rd degree AV blocks
Use caution with known asthma
Patients on dipyridamole (persantine) or carbamazepine (Tegretol) (cardiac and seizure drugs)
Cardiac transplants
Known A Fib or Flutter
Pregnancy

Question 3

Adverse reactions of Adenosine in cardio vascular

Answer 3

Transient dysrhythmias (systole, bradycardia, PVC's) 
Chest pressure, chest pain, hypotension, transient hypertension

Question 4

Adverse reactions of Adenosine in respiratory

Answer 4

Dyspnea, hyperventilation, tightness in throat, bronchospasm

Question 5

Adverse reaction of Adenosine in CNS

Answer 5

Lightheadedness, headache, dizziness, paresthesias, blurred vision, neck-back pain

Question 6

Adverse reaction of Adenosine in GI

Answer 6

Nausea, Metallic state

Question 7

Routes of administration for Adenosine

Answer 7

Rapid IV push

Question 8

Brand name of adenosine

Answer 8

Adenocard