drug sheet
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Adenosine other names | Adenocard
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| Class: | Antiarrhythmic
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| Pharmacology and Actions | A. Endogenous nucleoside – present in all cell bodies
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| Pharmacology and Actions | B. Slows conduction time through the A-V node
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| Pharmacology and Actions | C. Can interrupt reentry pathways through the A-V node
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| Pharmacology and Actions | D. Removed rapidly from circulation by erythrocytes and vascular endothelial cells. Half life is less than 10 seconds
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| Indications | A. PSVT, SVT
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| Indications | B. PSVT associated with WPW
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| Contraindications | A. Does not convert Atrial Flutter, Atrial Fibrillation, or Ventricular Tachycardia
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| Contraindications | B. Second or third degree A-V block
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| Contraindications | C. Sick sinus syndrome
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| Precautions and Side Effects | A. Antagonized by caffeine and theophylline due to prevention of adenosine binding at receptor sites. May need larger dose.
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| Precautions and Side Effects | B. Potentiated by dipyridamole (persantine). May need smaller dose.
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| Precautions and Side Effects | C. May produce a short lasting first, second, or third degree heart block
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| Precautions and Side Effects | D. In extreme cases it may cause prolonged asystole.
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| Precautions and Side Effects | E. May produce arrhythmias at the time of conversion which should only last a short while including PVC’s, PAC’s, sinus brady, sinus tach, skipped beats and varying degrees of A-V blocks
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| Precautions and Side Effects | F. Tegretol may result in development of high-degree blocks. May need smaller dose.
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| Precautions and Side Effects | G. May cause dizziness, flushing, HA, numbness in arms, dyspnea, chest pain, palpitations, nausea, chest pressure, bronchospasm, feeling of impending doom and heaviness in arms and neck
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| Dosages and supplied | 1st dose 6mg push, 2nd & 3rd dose 12mg. max 30mg..... supplied 6mg/2ml or 12mg/4ml
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