Fast Facts: Adenosine

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ADENOSINE FAST FACTS

An antiarrhythmic drug

Treats SVT

Vagal maneuver is often used first (to help resolve SVT) before this medication is given

Typical dose for SVT: 6 mg over 1-3 seconds. If the SVT does  not resolve (within 1-2 minutes), a second dose is usually administer at a 12 mg dose. However, a 3 mg dose is sometimes used in patients taking certain medications (example: carbamazepine)(1)

Can sometimes be used during a stress test as well

Rapid IV push: Has a short half life. Must be pushed rapidly so that it is effective

Chest pain, flushing, feelings of impending doom, dizziness, nausea can develop after the IV push

Elderly are more likely to experience adverse effects

Slows cardiac electrical conduction and helps restore normal sinus rhythm

Can cause temporary asystole- but usually only briefly

References:

  1. acts-algorithms.com
DISCLAIMER: The information posted is not intended to be medical advice. This is for educational purposes only. This information is intended for medical professionals & students. Check with your primary care provider if you have any questions regarding your health. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. This is not intended to guide or direct medical decisions, treatment choices, and or interventions. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information. This post may also contain affiliate links.

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