Adenosine G5

Question 1

Adenosine Class

Answer 1

• Antidysrhythmic

Question 2

Adenosine MOA

Answer 2

• Slows AV conduction

Question 3

Adenosine Indications

Answer 3

• Supraventricular tachycardia
• Monomorphic wide-complex tachycardia

Question 4

Adenosine Adult dose

Answer 4

• 6.0 mg RAPID bolus over 1 to 3 seconds followed by 20 mL normal saline flush
• If no response to the initial bolus after 1 to 2 minutes, administer 12 mg RAPID bolus over 1 to 3 seconds followed by 20 mL normal saline flush

Question 5

Adenosine Contraindications

Answer 5

• Atrial fibrillation
• Atrial flutter
• Polymorphic ventricular tachycardia (Torsades de Pointes)
• Second-degree and third-degree heart block

Question 6

Adenosine Adverse effects

Answer 6

• Transient dysrhythmias
• Chest pain
• Dyspnea
• Dizziness
• Hypotension

Question 7

Adenosine Pediatric dose

Answer 7

• 0.1 mg/kg (up to 6.0 mg) RAPID bolus over 1 to 3 seconds followed by 5 to10 mL normal saline flush
• If no response to the initial bolus after 1 to 2 minutes, administer 0.2 mg/kg (up to 12 mg) RAPID bolus over 1 to 3 seconds followed by 5.0 to 10 mL normal saline flush