Adenosine (Adenocard)
ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.
Adenosine (Adenocard)
ATI class: Antiarrhythmic / SVT conversion agent
Action
- ATI/source-folder candidate for Adenosine (Adenocard); verify mechanism against the source table before validation.
Therapeutic use
- Review under Anti-arrhythmics medication safety.
Nursing assessment
- Assess rhythm strip, blood pressure, symptoms, IV access, and resuscitation readiness.
- Confirm continuous ECG monitoring during administration.
- Assess asthma/COPD history and methylxanthine or dipyridamole use.
Administration
- Verify route against the order and source table.
Side effects
- Verify common side effects against the source table.
Adverse effects
- Transient asystole or heart block
- Chest pressure
- Flushing
- Dyspnea
- Bronchospasm
- Hypotension
Interactions
- Caffeine or theophylline may reduce effect
- Dipyridamole may increase effect
- Carbamazepine may increase heart-block risk
Contraindications
- See source-specific contraindications and precautions before administration.
Precautions
- Second or third degree AV block or sick sinus syndrome without pacemaker.
- Use caution with asthma/COPD, unstable clients, heart transplant history, and concurrent conduction-slowing medications.
Client teaching
- Explain that brief flushing, chest pressure, or a pause sensation can occur during monitored administration.
- Report worsening shortness of breath, chest pain, or feeling faint immediately.
Medication outcomes
- Therapeutic response with no priority adverse effects.
Antidote / rescue
- No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.
NCLEX priority cues
- Adenosine requires rapid IV administration with immediate flush and ECG monitoring.
- Unstable tachycardia with poor perfusion follows emergency rhythm protocols.
- Bronchospasm after administration is priority.
Medication classes
Source attribution
Related study cards
Shows the medication class, ATI cues, source references, and connected study cards for this drug.
Changes cardiac electrical conduction to terminate or prevent unsafe rhythms.
ATI medication nclex priority cue concept.
ATI medication class concept.
ATI medication nursing assessment concept.
ATI medication nursing assessment concept.
ATI medication mechanism of action concept.
ATI medication adverse effect concept.
ATI medication nclex priority cue concept.
ATI medication interaction concept.
ATI medication interaction concept.
ATI medication adverse effect concept.
ATI medication nursing assessment concept.