Solutions
Adenosine (Adenocard) AE Correct Answer ▪: self-limiting
due to 10 second half-life
Adenosine (Adenocard) class Correct Answer Misc
antidysrhythmic, endogenous nucleoside
Adenosine (Adenocard) consideration Correct Answer
▪Route: Given as a rapid 1-2 second IV bolus to terminate
tachycardia, which is followed by 1-5 second asystole
▪Clients should be be laid supine; may feel faint during
administration
▪IV site at the antecubital or above, 18+ IV angiocatheter
▪Continuous ECG monitoring required
Adenosine (Adenocard) indication Correct Answer ▪Primarily
indicated for paroxysmal supraventricular tachycardia (PSVT);
May be used to help diagnosis coronary artery disease (CAD) in
patients unable to undergo cardiac exercise stress test
Adenosine (Adenocard) moa Correct Answer ▪Naturally
occurring nucleoside that activates potassium channels in the SA
and AV nodes causing potassium to leave cardiac muscle cells.
afterload Correct Answer ▪Resistance to ejection of blood
from the ventricle; systemic or pulmonary vascular resistance
, Amiodarone (Cordarone) AE Correct Answer N/V,
hypotension, dizziness, visual changes, rashes, concentrates in
tissues
Amiodarone (Cordarone) BBW Correct Answer Causes a
pneumonia-like syndrome in the lungs that may be fatal;
monitor respiratory function
Amiodarone (Cordarone) class Correct Answer ▪Potassium
channel blocker; Broad spectrum; Used for both atrial and
ventricular dysrhythmias
Amiodarone (Cordarone) considertation Correct Answer
▪Oral has a half life >100 days causing effects to last 4-8 weeks
after d/c
▪ECG Changes: Prolongs QT interval, increases PR interval,
widens QRS complex
▪Electrolyte imbalances should be corrected before beginning
therapy
Amiodarone (Cordarone) contraindication Correct Answer
severe bradycardia, cardiogenic shock, sick sinus syndrome,
severe sinus node dysfunction, third degree AV block, or COPD.
Amiodarone (Cordarone) drug interaction Correct Answer
▪Due to multiple drug reactions the nurse should regularly check
current references for interactions
Amiodarone (Cordarone) education Correct Answer ▪Do not
drink/eat grapefruit
▪Assess for iodine allergy