Region X Medication Administration September 2006 CE Adenosine - Adenocard Cardizem - Diltiazem Aspirin Nitroglycerin Morphine Narcan - Naloxone Valium - Diazepam Versed . Based on 2005 SOP S Hopkins, RN, BSN. Region X Medications. Medications discussed in the following format:
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Region X MedicationAdministration September 2006 CEAdenosine - AdenocardCardizem - DiltiazemAspirin Nitroglycerin MorphineNarcan - NaloxoneValium - Diazepam Versed
Based on 2005 SOP
S Hopkins, RN, BSN
ID & treat
P waves present with normal PR interval
syringes in IV
line to give
draw up draw up saline med & flush as
adenosine flush quickly as
Normal Sinus Rhythm
81 mg each
0.4mg gr 1/150
2 ml ampule
5 ml total vial
What is your interpretation of the EKG?
Is the patient stable or unstable?
Evaluate blood pressure and level of consciousness to best determine stability
Determine if the patient is stable or unstable
Consider Diltiazem 0.25 mg/kg slow IVP (20 mg is an average dose) if patient stable and symptomatic
Carefully watch blood pressure (hypotension is a common response)
How much of the drug is necessary?
Enough to lower the pulse rate. The pulse rate does not need to get below100. Also, the rhythm will not convert - just slow down