SVT
Scenario: The patient was in NSR and then went into this rhythm. The patient is
awake and alert but feels anxious with palpitations and SOB.
VS: BP 62/46, R 44, HR 230
Rhythm: SVT – Supraventricular Tachycardia
Drug: Adenosine
Pharmacy Delivers: Adenosine 6 mg/2 mL vial
Physician Order: Give Adenosine 6mg IVP now. May give 12 mg IVP if first dose
ineffective.
Nurse:
1. Calculate the mLs to administer. 2
2. Administer the med.
Questions to Consider:
a. Is there a special way this drug is delivered? due to its very short half-life
(less than 10 seconds). Rapid IV Push
b. Does this patient need to be on a defibrillator? No, QRS still there
c. What is the most important potential side effect that may be expected of
this drug? transient asystole or arrhythmias
, BRADY
Scenario: Patient presents with this rhythm. They complain of feeling weak,
slightly SOB, nauseas, and dizzy.
VS: BP 88/42, R 24, HR 40
Rhythm: Bradycardia
Drug: Atropine
Pharmacy Delivers: Atropine 1 mg/10 mLs pre-filled syringe
Physician Order: Give 0.5mg Atropine IVP now.
Nurse:
1. Calculate the mLs to administer. 5ml
2. Administer the med.
Questions to consider:
a. When is bradycardia treated? <60
b. When is this drug contraindicated? Hypersensitivity/Narrow-Angle
Glaucoma
c. What is the most important potential side effect that may be expected of
this drug? Dry mouth/Blurred vision/Tachycardia/Urinary
retention/Constipation/Flushed, dry skin/Confusion
Scenario: The patient was in NSR and then went into this rhythm. The patient is
awake and alert but feels anxious with palpitations and SOB.
VS: BP 62/46, R 44, HR 230
Rhythm: SVT – Supraventricular Tachycardia
Drug: Adenosine
Pharmacy Delivers: Adenosine 6 mg/2 mL vial
Physician Order: Give Adenosine 6mg IVP now. May give 12 mg IVP if first dose
ineffective.
Nurse:
1. Calculate the mLs to administer. 2
2. Administer the med.
Questions to Consider:
a. Is there a special way this drug is delivered? due to its very short half-life
(less than 10 seconds). Rapid IV Push
b. Does this patient need to be on a defibrillator? No, QRS still there
c. What is the most important potential side effect that may be expected of
this drug? transient asystole or arrhythmias
, BRADY
Scenario: Patient presents with this rhythm. They complain of feeling weak,
slightly SOB, nauseas, and dizzy.
VS: BP 88/42, R 24, HR 40
Rhythm: Bradycardia
Drug: Atropine
Pharmacy Delivers: Atropine 1 mg/10 mLs pre-filled syringe
Physician Order: Give 0.5mg Atropine IVP now.
Nurse:
1. Calculate the mLs to administer. 5ml
2. Administer the med.
Questions to consider:
a. When is bradycardia treated? <60
b. When is this drug contraindicated? Hypersensitivity/Narrow-Angle
Glaucoma
c. What is the most important potential side effect that may be expected of
this drug? Dry mouth/Blurred vision/Tachycardia/Urinary
retention/Constipation/Flushed, dry skin/Confusion
