Adenosine - Critical Care Medications

[@BunnyValentine-id8kl]

I’m watching because an EMT saved my life with adenosine!!! they didn’t let me know exactly how fast my heart was because I was having a cptsd episode but I do know it required two consecutive doses and I’d love to discuss this experience with people who understand what the med does and might understand what I experienced

[@BunnyValentine-id8kl]

Half my body stiffened as I collapsed bc my heart rate the ambulance arrived and I had to be put on the stretcher and into the ambulance I kept going into fetal which wasn’t helpful considering I was gasping for air my heart felt like bird wings flapping in my chest I refused the oxygen mask because I couldn’t beat anything over my face while gasping After the first dose helped just hearing my description over the radio triggered me again hence the second dose Since then I’ve been thru much texting just to find that my heart is technically fine it just overreacts to everything because of prolonged cortisol flooding since my childhood bc trauma abuse homelessness etc I’m glad I’m alive that emt had the bluest eyes I’ve ever seen he held my hand waited for me to come to Bless Every one of y’all

[@Ahayeahishere]

​@@BunnyValentine-id8kli wish you all the best, thank you

[@hudalacroix7442]

All your videos are fantastic! I've been a critical care nurse for over 25 years. I tell all my orientees I'm training to subscribe to your channel. Your delivery is so easy to understand. Thank You.

[@ICUAdvantage]

This is amazing! I really appreciate that. Its always great to hear that these videos are helpful to so many.

[@lipazdotan4021]

Had the pleasure of being injected with Adenosine after a crazy SVT episode. Nothing else helped. The experience was outwordly terrible, but immediately it took effect. While traumatized by the situation, will not hesitate to accept it, after hours of tachycardia, it calmed my heart. Thank you!

[@ICUAdvantage]

Wow thank you for sharing! Sorry to hear you had to experience it. Always a horrible experience from any patient who was awake and got it. Glad it worked for you!

[@nataliethomson9359]

I had the same thing happen to me yesterday, was a crazy experience.

[@lifeofaseven]

Same

[@annrice955]

I had the lovely experience with Adenosine for a stress test when the treadmill wasn't an option. To sum up the feeling, it felt like I was dying. The nurses were a great help in educating me prior, keeping me calm, and assuring me that it would pass. I feel for the patients who have to be injected with this stuff.

[@paulies8802]

I had Adenosine for a stress test today too. It was such an awful experience. I am an active sports person and was shocked how I felt. Honestly thought was going to die - felt like a heart attack. Did you feel any side effects after the test? I'm still not feeling right 😕

[@classifiedsuser3265]

@@paulies8802 how are you feeling now?

[@paulies8802]

@@classifiedsuser3265 thanks for asking. I am back better than ever (apart from food poisoning lol) my fitness levels are through the roof after getting back to training 100 percent after covid. Are you ok?

[@USA__WILL]

Just gave Adenosine today x2. Pt went from 110 sinus tach to 190-201 SVT. Gave 6mg IVPush, converted to Sinustach, went into SVT 20 minutes later, gave another 6mg, back to sinus tach 110's hr, then 30 minutes later went to SVT again then gave 5mg Lopressor and went down to 180s then trended down to 160's were it began to rise slowly again, so started dex to sedate patient and depress respiratory and HR. We will see how shes doing tomorrow.

[@kiner30]

Wish I can give you one million likes!!! Absolutely amazed when bio 101 coincide with critical care (mind blowing). Thank you for all that you do. I can’t stress enough the quantity of appreciation I can express for yourself and your team members involved in the making of all these videos. 🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽

[@ICUAdvantage]

Wow, thank you Ping! It is pretty amazing the complexity of our bodies and how things work! I do really appreciate the awesome comment, but also it is just me here :)

[@LY43537]

This is, legit, the most brilliant medication and explanation I have seen on your channel to date. I feel like I suddenly gained 5 IQ points.

[@ICUAdvantage]

Haha fantastic! It really is quite amazing the nuances and cool things that come up with so much of what we do. So fascinating and what seems like an endless pool of knowledge to learn from!

[@KpxUrz5745]

I required this emergency treatment for SVT. It worked wonderfully, quickly, and with zero discomfort or unpleasant sensation. A minute later I said "I feel fine, ready to leave now". I consider it a great medical treatment, and potentially a life saver since my doctor had told me do not stay in SVT for over 30 minutes without medical attention. But now the same office discontinues using this because all staff is not trained in its use.

[@PeteHob]

No discomfort or I’m pleasant sensation? You are definitely the first and only person I’ve ever heard say that. You are living a charmed life stay well.

[@KpxUrz5745]

@@PeteHob Thank you. Yes, no discomfort in the least, not even any sensation of a "heavy weight placed upon the chest". Basically, nothing, just a few seconds wait until heart restarted in normal rhythm. My brother had had this procedure (for different reason) a year or two earlier, and he had warned me that it was one of the worst experiences of his life: like he was dying in a horrible frightening and excruciating manner. So that's what I was expecting, instead felt nothing. I don't know if I have a charmed life, but will also add the unrelated factoid that in another of my very few hospitalizations, in a different year, this time for a truly excruciating kidney stone (surely the worst pain of my or anyone's life!), after allowing me to suffer for hours in the ER while they did imaging, they finally gave me a shot of morphine. First morphine in my entire life, or any other such serious drug. Well, it did absolutely nothing for me, no pain relief whatsoever. I asked for something that would relieve the intense pain, while they just looked at me funny as if they didn't believe me.

[@BeatrixGrigoryan]

Adenosine aka CTR+ALT+Delete

[@ICUAdvantage]

Hahah 100%!!

[@ItsOnlyJunie]

UK Subscriber! I had this last week as tablets didn’t help and my resting heart bpm was between 140-153, continuous over about 5 days. It was such a quick but most scary process. Awkward tightness in my chest with a metallic salty after taste, I was extremely happy and thankful it worked 😅

[@tp2470]

I absolutely hate this medication. I have svt and have received it a few times for it not to work (no conversion and no slowing of hr) last time I was in the er I begged and cried the pa not to give it to me and he did anyways, needless to say it did not touch my svt and it was extremely painful. I was finally brought into tachycardia using diltiazem. I am now on a prescription of diltiazem that I am hoping will keep me from this experience again! I am glad it works for others, I just wish there was another option first that isn't adenosine. I suppose that is the process to follow.

[@annakiernan2419]

Hi there, I had SVT and just had an electrophysiology study (EP) and a cardiac ablation It has changed my life. I would strongly encourage you to research it as it can be up to 90% curative. No more SVT and mainly no more Adenosine!

[@lvldarwin]

I had this administered 2 days ago. Not real pleasant but instantly brought my heart beat down.

[@ICUAdvantage]

Thanks for sharing and glad it helped you

[@robertmiller7260]

I believe I was taught adenosine is 2nd choice for STABLE svt/ST, after vagal maneuvers don’t work

[@ICUAdvantage]

Correct, if stable, attempt vagal. If unsuccessful, adenosine.

[@eligalford9505]

You’re so very helpful to my poor nursing school abused brain

[@ICUAdvantage]

lol thats too funny! Happy to be of help.

[@chynlee6557]

Thank you so much. I am a new ICU Nurse. You did a great job review this med.

[@ICUAdvantage]

Thank you Renee and glad you liked it!

[@Snowcrystalsfalling]

I had this twice, first time 6 mg, heart rate shot up to 278, then dropped to 180, then 160, so was given 12mg, which did nothing. Heart rate stayed the same, so i was put into intensive care on an intravenous solution of a drug that i can't remember the name of for 24 hours. My heart rate got down to 134 then 120, then in the 90's, but then sat at 110 bpm

[@innerthought4012]

Im here cause of emt comedy short

[@ICUAdvantage]

? Did they talk about adenosine?

[@beckybarnett2066]

Thank for another great video! Becky, RRT-ACCS

[@ICUAdvantage]

You are so welcome Becky! :)

[@rudypadilla9626]

I have been a patient two times in one yr July 2023 July 2024. I have PSVT. Ems had giving me this Adenosine twice. To slow my 190bPM heart racing 6 mg. Then heart jumped back up to 190. I hit a second dose 12 mg then heart finally slowed down. It’s a weird warm feeling rushing through your body kinda like numbness. Glad is available

[@ICUAdvantage]

Wow thanks for sharing and glad this was able to help. It always seemed like a not great feeling. Fortunately have never had to try it out myself :|

[@cree339]

I thought it was first like of treatment for STABLE tachy you have to cardio vert unstable, no?

[@cree339]

Serious question i was just told other wise so I’d like to get mutiple explanations

[@markfreese3396]

I have SVT, I was wondering if you know if a doctor can prosibe Adenosine pills?

[@Greybeardmedic]

Not possible. IV push only. However, there is a new drug under study that can be given nasally: Etripamil

[@ClearlyPixelated]

PA student here. This is a GREAT review for my ER rotation. Thank you!

[@ICUAdvantage]

Fantastic! Glad you liked it

[@piety61]

I have right atrial reentrant tachyardia and my heart rate reaches over 260 beats per minute at times. I was admitted to the ER several times and given this adenasine IV push. it feels like DEATH. it feels like you have just died. It feels like every action, every cell in your body has suddenly stopped working, except your brain, which is trying to figure it out. It is is unreal..

[@thepalettewhispererasmr1227]

Always warn your patient they're going to feel like crap before you give it

[@danib0rman]

I’m so glad to you! I can understand so much better about those medications.

[@ICUAdvantage]

So great to hear Daniella! Happy to hear you found the lesson helpful. Thanks for taking the time to leave a comment.

[@nickawilliams5175]

I just had this two days ago when my HR was 166 and having Wolff Parkinson White.

[@radhagaruda9445]

Recently I was at ER with SVT I am scheduled for adenosine test as I couldn’t finish treadmill test reached no 7 instead of 10 I believe I am a retired physician after watching this video I don’t feel like going for this test

[@dravinashchatap8641]

Very good video. Thanks. Love and respect from India 🇮🇳

[@ICUAdvantage]

Thank you and hello in India!!

[@MichaelV-c3d]

You have really great videos. Maybe it would be nice to put your references at the end of every video so that we can also validate and look it out for ourselfs. More power. 😊

[@rma3899]

Thank you for the Amazing Job.... a great amount of respect and loads of Love from me :*

[@ICUAdvantage]

Thank you as always! I do appreciate you and wishing you the best.

[@elleykim6420]

this was super helpful as a med student. Thankyou so much

[@emilyrice427]

My mum was given this twice when suffering with SVT and a heart rate of almost 200. She was awake and conscious both times. She explained it to be terrifying with her chest feeling tight but extreme pressure in her legs feeling like they were pushing through the ground.

[@lipazdotan4021]

Yes, the pressure in the muscles is crazy, bur only last for a few seconds and then you can breathe once it takes affect. While horrible to experience, it's like a magic drug.

[@jessicap6873]

Very scary experience

[@lobarita]

Hi Mr Eddie, Is the only way to distinguish wide complex tachycardia from VTAC by looking at a 12 lead and assessing all leads?

[@ICUAdvantage]

Hey Jacob, so VTAC itself IS a WCT. We can have other WCTs that are not VTACH such as SVT (SWCT) which for true differentiation, an ECG will be needed. But in the context of this video, I simply meant if they have monomorphic VTAC, thats Adenosine can be used to treat, but this is only going to be in stable monomorphic VTAC (tachycardia algorithm), as unstable becomes code and VF/VTAC algorithm.

[@mistycross3844]

I just got a shot of this on July 22nd. It saved my life! So thankful! I had a bad svt episode and my bpm would not go down by themselves.

[@dgmnhn2098]

Thanks !

[@chucklingcareco]

Can you mix the Adenosine with 20ml NS and give it in one quick IV push?

[@ICUAdvantage]

I hadn't seen it that way. I guess, theoretically you could, but its going to slow how quick it is given. Given the very short half life, the goal is to get it all in as quickly as possible hence the stopcock method.

[@chucklingcareco]

@@ICUAdvantage Understood! Thank you for your reply.

[@RooseveltAliWashingtonX]

Yes you can! I'm a rapid response RN, and it works wonderfully! I've yet to see it not slow, or not convert. The stopcock method is too cumbersome.

[@awesomesounds9305]

Fantastic information

[@ICUAdvantage]

Glad you think so!

[@dr.sowmya2168]

What is the position for giving adenosine

[@PCPDJar]

This is great! I'm no health care provider but I'm a health science student and I just love researching these things especially with clinicals coming up!

[@6AfroMan6]

According to ERC 2021 guidelines now its 6-12-18mg

[@ICUAdvantage]

Interest! I’m not too familiar with their guidelines. I’ll have to look it up

[@lammy0223]

Why can't you give more than 12mg at a time? I was hoping you would say why or what the consequences were to this right after but it never came. Explaining why not to give more than 12mg would help ppl understand the medicine better. All in all, great video. I will definitely subscribe to learn more. Thanks!

[@ICUAdvantage]

Thanks for commenting. I certainly could have elaborated more there. I believe the risk comes from causing a more sustained high level block. I usually try to expand on points like this and my apologies for flying past that one. Glad to hear you enjoyed the video and welcome aboard to the channel!

[@cherlynsalang3561]

hi you r brilliant, c u please explain y adenosine can cause bronchoconstriction ?

[@ICUAdvantage]

This is the result of activating those purinergic adenosine receptors that exist in the respiratory system. I focused on the ones in the heart and vasculature for this lesson as that was the mechanism of action that we cared about, but as I mentioned those receptors are located in many areas.

[@zacharybland9469]

Just used it yesterday with no effect. What are some reasons this medication fails to slow down SVT? (The SVT was brought on by mucus plugging and subsequent resp distress)

[@ICUAdvantage]

Great question! So when you say it didn't work, do you mean it didn't convert the SVT or you go no slow down or pause and it literally did nothing? Also did you use 6 or 12mg? Finally, the SVT/tachycardia sounds like it was driven by the plug/distress and was probably a compensation mechanism. While really fast rates can have detrimental effects, I did specifically talk about tachycardia being a useful compensation. Another example would be hypovolemia. The body is kicking up the HR for a specific reason, so it may not tell us much to use adenosine and really just a matter of correcting the problem (ie volume for hypovolemia, or removing plug/supporting ventilation with your case potentially)

[@funnyfunnybunnies]

What’s the contraindication against using more than 12mg?

[@ICUAdvantage]

Not sure. Don't think I've ever seen anything. My assumption was that after 12 it didn't have any significant additional effect, but thats merely speculation.

[@AesthMed]

We start with 12mg these days. Great video.

[@RooseveltAliWashingtonX]

Rather than doing that. A better practice is to draw up six milligrams of Adenosine into 18 milliliters of normal saline. And give it rapidly. No need to follow with a flush. I'm a rapid response RN, and I've yet to see this method not work. I've always found the stopcock method of administration to be cumbersome.

[@jollysamuel9384]

May God bless you✌️I was so nervous about going to ICU. My daughter who is going to graduate in 2 months told me about ICU Advantage ! You are doing a great job for people like he! I introduced this channel to other ICU nurses and to doctors. They said they are going to look into it. Keep up the good work!!!

[@ICUAdvantage]

Very cool and congrats to your daughter. Thats super exciting. I appreciate the kind words and thank you so much helping to spread the word of the channel!

[@judithtankam4851]

Thank you

[@ICUAdvantage]

You're welcome

[@TheActualLiz]

Nicely done ❤

[@akaali63]

So much easy to understand uk Nottingham

[@ICUAdvantage]

Glad to hear it and hello all the way in the UK!

[@pallavsingh5863]

Thankyou

[@emmanuelsantana9771]

Thanks!

[@zazu1luv3]

Definitely clears things up and puts these medications into perspective in critical care!

[@ICUAdvantage]

Fantastic! This is my whole goal!

[@babakshirvani]

VERY WELL EXPLAINED

[@Tired.]

This compound seems very interesting

[@ICUAdvantage]

Agreed

[@mirandaalexis]

i've given so much adenosine lol

[@ICUAdvantage]

I bet!! Some of the best vagal maneuvers I've learned came from ED nurses! ;)

[@mlpaul6707]

Thank you these videos are amazing 🤗

[@ICUAdvantage]

Awesome! glad you like them!

[@hasebaik]

Thank you sir

[@ICUAdvantage]

You are very welcome!

[@francisjere-ex3uf]

Really helpful

[@ICUAdvantage]

Great to hear!

[@wingwing0.0]

Thank you so much 💪🏻💪🏻

[@ICUAdvantage]

You're welcome!

[@طائر-و6ظ]

Thank you 💖

[@ICUAdvantage]

You are so welcome

[@Unstopabowlski]

Love these vids

[@ICUAdvantage]

Glad you like them Joe!

[@neelparikh4488]

Very useful. Thank you.

[@ICUAdvantage]

Glad to hear that!

[@lolwealego6951]

You are very good 👍

[@ICUAdvantage]

Wow thank you!

[@hanyelbanna3673]

Thanks

[@ICUAdvantage]

Welcome

[@charlesflores2437]

Wow. Just wow!

[@ICUAdvantage]

Hopefully thats a good wow? lol

[@charlesflores2437]

Of course. I’ve been watching your videos since last year. Tnx so much.

[@venkybly]

Tq

[@ICUAdvantage]

You're welcome!

[@jennlee443]

Just used this the other day in our ICU, HR was 189, was thinking I should do a refresher on this med!

[@ICUAdvantage]

Awesome! Well timed!

[@rogervanbommel1086]

May I ask, was it a good outcome?

[@jennlee443]

@@rogervanbommel1086 yes it was with the medication, unfortunately though the patient passed away a couple days later from the COVID