Generic Name
Adenosine
Trade Name
Adenocard
Therapeutic Class
Antiarrhythmic
Pharmacologic Class
Purine nucleoside
Mechanism of Action
Slows conduction through the AV node, interrupts re-entry pathways through AV node, restoring normal sinus rhythm
Indication
Paroxysmal Supraventricular Tachycardia
Side Effects
- Flushing
- Shortness of breath
- Nausea
Nursing Considerations
- Contraindications
- 2nd or 3rd degree AV Block
- Atrial flutter
- Atrial fibrillation
- Monitor before administration
- Blood pressure
- Apical pulse
- Patient on cardiac monitor
- Period of asystole after bolus
Patient Education
- May feel flush after bolus
- Avoid caffeine
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nrsng.com/cornell
