Management of Adenosine Administration

Description

• Clear colourless solution 3mg/ml in 0.9% sodium chloride in 2ml vials. For IV administration only.

Prescription

• Each dose is charted on the stat page of the drug chart in mg/dose.

Administration

1. Administered by doctor or NS-ANP with doctor in attendance.

2. Dilute immediately prior to use to 1mg / ml by adding to sodium chloride 0.9% using our usual dilution method.

3. Filter prior to administration through a 0.22 micron filter

4. Administer by direct IV injection over 1 to 2 seconds.

5. Follow instantaneously with a rapid flush of sodium chloride 0.9%

6. Compatible with sodium chloride 0.9%. Adenosine 1mg/mL compatible with glucose 5% ¹⁰

Nursing Considerations

1. Continuous ECG printout during and immediately after administration IS ESSENTIAL. File record in patient notes
2. Where practical record blood pressure prior to first dose
3. Continuous cardio-respiratory monitoring. Observe closely for arrhythmia.
4. Monitor and assess patient response to therapy.
5. Observe for signs of adverse effects and arrhythmias
6. Ensure resuscitation equipment available.

Storage

• Unopened, store at room temperature < 25°C. Do NOT refrigerate - may cause crystallization.
• Used vial not suitable for storage.

References