Wednesday, May 30, 2012

Q: 47 year old male in ICU went into supraventricular tachycardia (SVT) and successfully converted to NSR with total of 18 mg of Adenosine. On strip total Asystole time was 8 seconds. Now patient is complaing of numbness in upper extremities. What should be your next step? 



Answer: Observation 

Adenosine may make patients' limbs feel numb for few minutes after administration intravenously. Usually it happens when patient requires more than 12 mg of Adenosine. It usually resolves without any complication.

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