adenosine for ER nurses - page 2

by sunshineonleith 3,440 Views | 16 Comments

how do you give it? I have always worked with another rn (so they could add a fast flush in addition to the ns hanging wide open) and had the patient on the crash cart monitor. I like to have the doc at the bedside too. Last... Read More


  1. 0
    we push adenosine on patients as long as they have a monitor on......telemetry included.......we just tell someone to watch the monitor, and run a continuous strip. i never had to code a person following adenosine. actually hung a continuous adenosine gtt once.......learn something new everyday
  2. 0
    Small town hospital in the middle of nowhere. I work 7p-7a, the doc is at home in bed, 2 other RN's on the next floor. I'm it in the ER, lab, xray, r/t are all in bed at home but on call. When this happens where I am, I call another RN down and call in the Doc. If it was SVT and the Pt is in acute distress (as in do it now or never) in it goes but the pads would be in place.
    Tom
  3. 0
    Quote from mpccrn
    we push adenosine on patients as long as they have a monitor on......telemetry included.......we just tell someone to watch the monitor, and run a continuous strip. i never had to code a person following adenosine. actually hung a continuous adenosine gtt once.......learn something new everyday
    what???? adenosine gtt??? you gotta be kidding me? how? why?

    please enlighten me here because i can't wrap my brain around this?
  4. 0
    Quote from rn-cardiac
    what???? adenosine gtt??? you gotta be kidding me? how? why?

    please enlighten me here because i can't wrap my brain around this?
    that doesn't make sense to me either.....
  5. 0
    The unit I work on a RN can administer it but the MD must be present. Usually the MD will administer it. We always have the crash cart at hand as well as the heartrate and rhythum being observed by the monitor tech. We had one patient who the MD just wanted the rate to be slowed enough so he could determine what rhythum this patient was actually in. It was pretty cool to watch.
    Jennifer
  6. 0
    Quote from rn-cardiac
    what???? adenosine gtt??? you gotta be kidding me? how? why?

    please enlighten me here because i can't wrap my brain around this?
    been there and done that. there are several indications, actually...
    http://content.onlinejacc.org/cgi/co...tract/18/3/718
    http://cat.inist.fr/?amodele=affichen&cpsidt=1236236
    http://pediatrics.aappublications.or...tract/97/3/295
    http://www.merck.com/mmpe/lexicomp/adenosine.html
  7. 0
    Saline running wide open. I connect the Adenosine syringe on the lower port and a plain saline flush at the distal port on the IV tubing. Then I squirt the Adenosine at the lower port (with saline still running wide open) and follow simultaneously with rapid push of the saline flush at the distal port.

    We use portable 12 lead machines to diagnose arrythmias, so we leave it hooked onto the patient (and thus try to capture and print strips at different points of the treatment plan). Depending on the pt and/or presenting symptoms, we'll also hook pt. onto bedside defibrillator/pacer.

    Crash cart outside room with RSI kit regardless of pts. symptoms.

    MD may or may not be present.

    cheers,


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