LEGAL NOTICE TO THE FOLLOWING ALLNURSES SUBSCRIBERS: Pixie.RN, JustBeachyNurse, monkeyhq, duskyjewel, and LadyFree28. An Order has been issued by the United States District Court for the District of Minnesota that affects you in the case EAST COAST TEST PREP LLC v. ALLNURSES.COM, INC. Click here for more information
I am looking for a protocol, policy or procedure for mixing and administering an infusion of Adenosine to r/o pulmonary hypertension during a diagnostic right heart cath. Any help would be greatly appreciated!!!!!
Have never used it for that, we infuse it ("chemical stress test") for limited- or non-ambulatory stress tests, in conjunction with nuclear imaging.
Have heard of doing a Flolan challenge (with PA cath in position, and pt monitored in the ICU) . ..
I hope you received the answer you were looking for, as your question was posted a long time ago but I'll provide this information for anyone who is looking for the info in the future. Our cath lab uses the following dosing:
Full strength adenosine 3000mcg/ml to be infused in progressive stages (as ordered verbally by the physician doing the procedure): 50mcg/kg/min, 70mcg/kg/min, 90mcg, 110mcg/kg/min, 110mcg/kg/min, 130mcg/kg/min, 150mcg/kg/min, 170mcg/kg/min, 190mcg/kg/min (max 200mcg/kg/min). The formula to calculate the pump rate:
Dose (mcg/kg/min) x weight in kg x 60 (min/hr)
concentration adenosine (mcg/ml)