DRUG SUPPLIED DOSE COMMENTS
ADENOSINE (Paeds)
(Adenocard)

Mechanism of action:

Antiarrhythmic; slows conduction time through AV node.



Ref: 37, 44, 183



Last update: 2019-08-25
Injection: 6 mg/2 mL vial Initial dose: 0.1 mg/kg rapid IV within 1-2 sec. (max 6 mg/dose); follow with a rapid flush of 5-10 mL NS.

If not effective within 1-2 min. give 0.2 mg/kg; max 12 mg/dose.

If not effective give 0.3 mg/kg; max 18 mg/dose

Maximum single dose: 18 mg or 0.3 mg/kg
Administer vial peripheral or central IV closest to the heart by rapid IV injection over 1-2 seconds.

May also be given by intraosseous route.

Very short duration: half-life is 10-15 sec.

May cause brief periods of sinus arrest and may precipitate bronchospasm, arrhythmias, chest discomfort, flushing.

Contraindicated in patients with heart transplant.

Caution in patients with SA or AV nodal dysfunction, obstructive lung disease or in patients taking digoxin, verapamil, carbamazepine or methylxanthines.


Standard Prescription:

adenosine __mg IV (__mg/kg) x 1 dose