Speaking of adenosine

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The ER doc was once a FP doc who moonlighted in the ER. Pt came in with SVT and he ordered adenosine "slow push". I reminded him about the half life and he said he went to a conference where they said that adenosine pushed fast can cause the heart to stop.

Um............ain't that what it's s'posed to do?

I hid the port from his view and pushed it fast.

Specializes in Emergency Dept, ICU.

Well now that you mention it, once I diluted adenosine and pushed it fairly slow, I just wasn't thinking. And of course nothing happened and so I was walking back to get the next (higher) dose and heard a bit of comotion in the room. About 30 sec. after we all walked out it kicked in..... but it worked. :rolleyes:

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Specializes in Med/Surge, ER.

Hmmmm......maybe this doc shouldn't be taking care of pts in SVT. I guess he wants you to slow push Epi, and Atropine during a code as well.....LOL!

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Specializes in ICU, CM, Geriatrics, Management.

Very odd indeed.

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Specializes in Cardiac, ER.

Too funny! Thanks for the chuckle!

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