Adenosine

Trade – Adenocard Classification – Antiarrhythmic MOA– Slows the conduction of electrical impulses at the AV node Indication – SVT Contraindications – Sick sinus syndrome, second or 3rd degree heart block, Poison/drug induced tachycardia, asthma, or bronchospasm Side Effects– Sense of impending doom, complaints of flushing, chest pressure, throat tightness, numbness, brief period of asystole after administration. Dosing Adult: 6mg rapid IV/IO followed by a rapid saline flush; If rhythm doesn’t break in 1-2 minutes 2nd dose of 12mg RAPID IV/IO followed by saline flush Pediatric: Greater than 110 pounds SAA Less than 110 pounds initial dose 0.1mg/kg IV/IO (max 6mg) Followed by a rapid saline flush second dose if rhythm persists or reoccurs 0.2mg/kg (max 12mg) followed by a rapid saline flush.