Adenosine DC - Med card notes. PDF

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Med card notes. ...

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Faulkner State Community College/Division of Nursing Clinical Medication Sheet Nursing 202 Student _____________________________ Patient’s Initials ________ Clinical Week ________ Class _____________ Drug

Classification & Mechanism of Action

Major Side Effects & Contraindications

Nursing Considerations

Drug: Adenosine / Adenocard / Adenoscan

Functional class: Anti-dysthymic

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Dose: 6 mg rapid push over 1-3 seconds. After 1-2 min if no resolution, give 12 mg over 1-3 sec

Chemical class: Endogenous nucleoside

Side-Effects: CNS: light headedness dizziness, arm tingling, numbness, apprehension, headache CV: Chest pain, pressure, atrial tach dysrhythmias, sweating, palpitations, hypotension, facial flushing GI: Nausea, metallic taste, throat tightness, groin pressure RESP: Dyspnea, chest pressure, hyperventilation EENT: blurred vision,

Route: IVP (slam) Frequency: Rationale for client: Conversion of PSVT/SVT to NSR Onset: Immediate Peak: Unknown Duration: 1-2 Minutes

Action: Slows conduction through AV node, can interrupt reentry pathways through AV node, and can restore normal sinus rhythm in pt. with paroxysmal supraventricular tachycardia (PSVT) Therapeutic Effect: Restoration of normal sinus rhythm

Contraindications: 2nd or 3rd degrees heart block, AV Block, atrial flutter, a-fib

Cardiopulmonary status: B/P, pulse, RR, ECG RR Status, rate, rhythm, lung fields for crackles in CHF, watch for RR depression CNS effects; dizziness, confusion convulsions- discontinue -restarts the heart....