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2020-11-12T19:14:05Z

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==Section 8 - MEDICATION GUIDELINES==
===ANTIARRHYTHMICS===

====Adenosine (ADENOCARD) / Antiarrhythmic====
'''DESCRIPTION/ACTION:'''
* It is a natural occurring agent that can "chemically cardiovert" Paroxysmal Supraventricular Tachycardia (PSVT) to a normal sinus rhythm.
* It has a half-life of 5 seconds and does not cause hypotension like Verapamil.
* Restores normal sinus rhythm by interrupting re-entrant pathways in the AV node.
* Slows conduction time through the AV node.
* Produces coronary artery vasodialation.
'''INDICATIONS:'''
* [[Supraventricular Tachycardia|Narrow complex (PSVT)]] refractory to vagal maneuvers.
'''CONTRAINDICATIONS:'''
* 2nd and 3rd Degree Heart Block, Sick Sinus Syndrome, or known hypersensitivity to the medication.
'''PRECAUTIONS:'''
* It may cause transient arrhythmias.
* It may cause bronchospasm in asthma patients.
* Heart transplant patients may only require a smaller dosage and patients on Theophylline based medications may require larger dosage, contact MEDICAL CONTROL for consult.
'''DOSAGE:'''
* IV 12 mg by rapid IV bolus, if no results repeat 1-2 minutes later as 12 mg rapid IV bolus. Maximum total dose 24 mg.
* Pediatrics - Refer to Handtevy System for patient specific dosage
** Premies - 13 y/o: 0.1 mg/kg (1st dose), 0.2 mg/kg (2nd dose)

[[Category:Medication Guidelines|Adenosine]]

Adenosine - Revision history

Mfrdmanager: Created page with "==Section 8 - MEDICATION GUIDELINES== ===ANTIARRHYTHMICS=== ====Adenosine (ADENOCARD) / Antiarrhythmic==== '''DESCRIPTION/ACTION:''' * It is a natural occurring agent that ca..."