Document Detail


Adenosine dose should be less when administered through a central line.
MedLine Citation:
PMID:  11858927     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with a port-a-cath was given 12 mg of adenosine for paroxysmal supraventricular tachycardia (PSVT), resulting in prolonged (13 s) bradycardia and severe side effects. When the same patient presented 2 weeks later for recurrent PSVT, only 3 mg of adenosine was needed to terminate the episode, without the patient experiencing prolonged bradycardia or severe side effects. The literature suggests that for patients with central venous catheters, a lower dose of adenosine should be used to terminate PSVT.
Authors:
Michael Chang; Keith Wrenn
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  22     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-02-22     Completed Date:  2002-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  195-8     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-4700, USA.
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MeSH Terms
Descriptor/Qualifier:
Adenosine / administration & dosage*,  therapeutic use
Aged
Anti-Arrhythmia Agents / administration & dosage*,  therapeutic use
Catheterization, Central Venous / instrumentation
Electrocardiography
Female
Humans
Tachycardia, Supraventricular / drug therapy*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents; 58-61-7/Adenosine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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