What are the key nursing considerations when administering adenosine?
Monitor blood pressure and apical pulse prior to administration. Cardiac monitor should be used on patients receiving adenosine IV boluses. Flush IV port with flush solution (e.g., normal saline) immediately after IV bolus. Use only clear solutions; discard unused medication.
What do you monitor with adenosine?
Any patient receiving adenosine should be on a form of cardiac monitoring. Patients receiving treatment for SVT are often on a 12-lead electrocardiogram rhythm monitoring to assess the underlying rhythm, while adenosine is actively affecting the AV node.
What do I need to know about administering adenosine?
Adenosine should be administered by rapid intravenous (IV) bolus injection into a vein or into an IV line. If given into an IV line it should be injected through as proximally as possible, and followed by a rapid saline flush. If administered through a peripheral vein, a large bore cannula should be used.
What is important to remember about adenosine?
Adenosine is a naturally occurring substance that relaxes and dilates blood vessels. Adenosine also affects the electrical activity of the heart. Adenosine is used to help restore normal heartbeats in people with certain heart rhythm disorders. Adenosine is also used during a stress test of the heart.
Does adenosine lower blood pressure?
It is known that adenosine decreases blood pressure (BP) level as well as blood pressure variability (BPV).
When administering adenosine What is the nurse’s best action?
Administer each dose undiluted by IV direct. Administer within 1-2 seconds. After each IV direct dose, administer a 20 mL sodium chloride 0.9% flush. Administer the flush as quickly as possible.
What is the action of adenosine?
In terms of its electrical effects in the heart, adenosine decreases heart rate and reduces conduction velocity, especially at the AV node, which can produce atrioventricular block.
Can adenosine cause high blood pressure?
These results are probably explained by arterial chemoreceptor activation; adenosine increases blood pressure and stimulates respiration if infused into the aortic arch at a site proximal to the origin of the carotid arteries but decreases blood pressure and has no effect on ventilation when infused into the descending …
Can a nurse administer adenosine?
Adenosine does not appear on the Drug Enforcement Agency’s list of controlled substances (either under Adenosine or as an alternative name for another substance), meaning that, unless otherwise prohibited, registered nurses in states that permit registered nurses to administer drugs are permitted to administer …
When should you not take adenosine?
Adenosine is contraindicated in patients with sinus node disease, such as sick sinus syndrome or symptomatic bradycardia, and in patients with second- or third-degree AV block, except in patients with a functioning artificial pacemaker.
How does adenosine affect blood pressure?
Adenosine lowers blood pressure, produces late (probably reflex) tachycardia, and has no effect on ventilation when infused into descending aorta (right panel). Increases in blood pressure and ventilation are, therefore, probably ex- plained by activation of arterial chemoreceptors.
What are the nursing care plans for hypertension?
Nursing care planning goals for hypertension include lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications. Here are six nursing diagnoses for hypertension nursing care plans : Risk for Decreased Cardiac Output. Decreased Activity Tolerance.
When to use adenosine in patients with tachycardia?
Infants, Children, and Adolescents. When IV access is available, administer through IV access that is closest to the heart. Consider adenosine use only if the rhythm is regular and the QRS is monomorphic. Do not use adenosine in patients with Wolff-Parkinson-White syndrome and wide-complex tachycardia.
What’s the best way to give an Adenocard injection?
Adenocard: given as a rapid injection (1-3 sec) by peripheral IV route directly into vein or into IV line close (proximal) to patient and is followed by rapid NS flush after each injection (20 mL for adults, 5 mL or more for pediatrics) Place patient in mild reverse Trendelenburg position before giving drug
How often should I give IVP for Adenocard?
Adenocard: 6 mg IVP over 1-3 seconds (maybe given IO) followed by rapid flush with 20 mL NS, if no conversion within 1-2 minutes give 12 mg IVP, repeat a second time if necessary (30 mg total) Indicated as an adjunct to thallium-201 myocardial perfusion scintigraphy in patients unable to exercise adequately