A question about Adenosine

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Just a quick question.

Does Adenosine always stop your heart? I had a friend who had SVT and a HR of 280 and took it and she said she remembered feeling like something was pulling out of her body, limb pain, but stayed conscious. Her pulse went down to 125 in 10 seconds. Then she got started on Cardizem.

Is that abnormal?

Thanks for reading.

Sounds like we have a few people that haven't taken their ACLS class. tsk tsk.

VVhere I vvork they dont recommend nevv RN's take ACLS until they have 6 mos on the floor. Go figure. Taking mine next month!

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Adenosine is a slam. As a 25 year trauma nurse I have given it many times. The thing I like about adenosine is it almost always works on SVT. Aflutter is a different story.

Now I was a patient a week ago and went into SVT. I didn't even make the paramedic mad when I spouted off orders. He had the six mgs loaded and I said, no, do 18. I am a big guy and you will need it. I watched the monitor as he gave it. I went into a pause about a second later. I hate calling it asytole because if it was, then truly I wouldn't of seen it, or I doubt I would. Then I drop to about 100 and stayed their.

There is a video you can watch of a sonogram while adenosine is being administered which is very interesting. Does the heart REALLY stop when you give Adenosine to an SVT patient – find out with POCUS! : EDE Blog

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