LA county Protocols Exam | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+
Adenosine : Class: Antidysrhythmic Indications= Cardiac dysthymia 1. SVT- narrow complex: HR over 150 bpm adult, over 180 bpm child, over 220 bpm for infants; unresponsive valsalva & 2. Reg/monomorphic wide complex tachycardia w/ adequate perfusion or alert patient with poor perfusion MOA= slows conduction through AV node, interrupts AV reentry pathways as well as conduction through SA nodes Adult= 6 or 12 mg rapid IVP, waiting (1-3 seconds), followed by 10ml of NS IF no conversion after 1-2 mins, may repeat 12mg rapid IVP followed by rapid flush of 10ml NS 2 | P a g e Contraindications= -sinus tachy or Afib/flutter, despiteover 150 rate -2nd and 3rd degree heart block with out a pacemaker -WPW and AFIB (wide/irregular) -sinus nose disease, heart transplant, use of carbamazepine (tegretol) for seizure disorder Adenosine (PEDs) Dose : 0.1 mg/kg (3ml/ml) rapid IVP, max first dose 6mg, rapid flush 10ml if not conversion within 1-2 mins may repeat 1x at 0.2 mg/kg followed by rapid flush 10ml NS, May 2nd dose 12m
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