{"id":331,"date":"2023-04-24T00:21:52","date_gmt":"2023-04-24T03:21:52","guid":{"rendered":"http:\/\/arritmed.com.br\/?p=331"},"modified":"2023-04-24T00:21:54","modified_gmt":"2023-04-24T03:21:54","slug":"como-administrar-adenosina","status":"publish","type":"post","link":"https:\/\/arritmed.com.br\/?p=331","title":{"rendered":"Como administrar Adenosina?"},"content":{"rendered":"\n<p>Uma das arritmias mais prevalentes no Pronto Socorro Cardiol\u00f3gico \u00e9 a Taquicardia Supraventricular que apresenta de uma forma geral car\u00e1ter benigno por\u00e9m causa muito desconforto no paciente. De acordo com os \u00faltimos Guidelines Americano e Europeu \u00a0de Manejo da Taquicardia Supraventricular, no paciente est\u00e1vel, a primeira medida \u00e9 a Manobra Vagal. Se n\u00e3o acontecer a revers\u00e3o, a medica\u00e7\u00e3o de escolha na sequ\u00eancia \u00e9 a Adenosina. Muitos casos n\u00e3o apresentam revers\u00e3o por administra\u00e7\u00e3o realizada da forma incorreta. \u00a0<\/p>\n\n\n\n<!--more-->\n\n\n\n<p>A adenosina \u00e9 uma medica\u00e7\u00e3o que causa diminui\u00e7\u00e3o da condu\u00e7\u00e3o sinusal, diminuindo o tempo de condu\u00e7\u00e3o no n\u00f3 AV (resultando em um bloqueio transit\u00f3rio AV), podendo reverter a taquicardia de origem supraventricular ou ajudar no diagn\u00f3stico diferencial. Sua a\u00e7\u00e3o demora poucos segundos, por isso se torna fundamental \u00a0a realiza\u00e7\u00e3o da t\u00e9cnica correta de administra\u00e7\u00e3o.<\/p>\n\n\n\n<p>\u00a0Voc\u00ea sabe como administrar? Vamos l\u00e1:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Monitoriza\u00e7\u00e3o do Paciente;<\/li><li>Puncionar uma veia mais pr\u00f3xima do cora\u00e7\u00e3o, de prefer\u00eancia a V. Cubital, com o dispositivo Tree-Way (Torneirinha);<\/li><li>Explique o paciente o Procedimento e deixar ele ciente que deve acontecer um \u201cinc\u00f4modo no t\u00f3rax\u201d na hora da administra\u00e7\u00e3o por poucos segundos;<\/li><li>Prepare duas Seringas: A primeira com 06 mg de Adenosina e a segunda com bolus de 10 a 20ml de Solu\u00e7\u00e3o Salina;<\/li><li>Realize Infus\u00e3o R\u00e1pida da Adenosina (torneirinha aberta para essa seringa) e na sequ\u00eancia realizar administra\u00e7\u00e3o de forma r\u00e1pida da solu\u00e7\u00e3o salina (torneirinha aberta para essa seringa), com eleva\u00e7\u00e3o do bra\u00e7o acima da cabe\u00e7a imediatamente ap\u00f3s infus\u00e3o (Realizar todo esse passo em aproximadamente 02 segundos);<\/li><li>Observar no Monitor se houve revers\u00e3o da Arritmia;<\/li><li>Caso n\u00e3o tenha acontecido a revers\u00e3o, o procedimento pode ser repetido com 12 mg de Adenosina em at\u00e9 02 vezes na sequ\u00eancia. <\/li><\/ol>\n\n\n\n<p><strong>Veja a Sequ\u00eancia em Imagens:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-1-1024x1024.jpg\" alt=\"\" class=\"wp-image-335\" srcset=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-1-1024x1024.jpg 1024w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-1-150x150.jpg 150w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-1-300x300.jpg 300w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-1-768x768.jpg 768w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-1.jpg 1080w\" sizes=\"(max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-2-1024x1024.jpg\" alt=\"\" class=\"wp-image-334\" srcset=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-2-1024x1024.jpg 1024w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-2-150x150.jpg 150w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-2-300x300.jpg 300w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-2-768x768.jpg 768w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-2.jpg 1080w\" sizes=\"(max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-3-1024x1024.jpg\" alt=\"\" class=\"wp-image-332\" srcset=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-3-1024x1024.jpg 1024w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-3-150x150.jpg 150w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-3-300x300.jpg 300w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-3-768x768.jpg 768w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-3.jpg 1080w\" sizes=\"(max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-4-1024x1024.jpg\" alt=\"\" class=\"wp-image-333\" srcset=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-4-1024x1024.jpg 1024w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-4-150x150.jpg 150w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-4-300x300.jpg 300w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-4-768x768.jpg 768w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2023\/04\/ADENOSINA-4.jpg 1080w\" sizes=\"(max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n\n\n\n<p>Refer\u00eancia:<\/p>\n\n\n\n<p>1-  Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, et al. <strong>2015 ACC\/AHA\/HRS guideline for the management of adult patients with supraventricular tachycardia: executive summary: a report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society<\/strong>. J Am Coll Cardiol 2016;67:1575-1623. <\/p>\n\n\n\n<p>2-Brugada J, Katritsis D, Arbelo E, Arribas F, et al. <strong>2019 ESC Guidelines for the management of patients with supraventricular tachycardia<\/strong>. European Heart Journal (2020) 41, 655-720.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2019\/08\/curriculo-para-site-1024x576.jpg\" alt=\"\" class=\"wp-image-85\" srcset=\"https:\/\/arritmed.com.br\/wp-content\/uploads\/2019\/08\/curriculo-para-site-1024x576.jpg 1024w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2019\/08\/curriculo-para-site-300x169.jpg 300w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2019\/08\/curriculo-para-site-768x432.jpg 768w, https:\/\/arritmed.com.br\/wp-content\/uploads\/2019\/08\/curriculo-para-site.jpg 1280w\" sizes=\"(max-width: 709px) 85vw, (max-width: 909px) 67vw, (max-width: 1362px) 62vw, 840px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Uma das arritmias mais prevalentes no Pronto Socorro Cardiol\u00f3gico \u00e9 a Taquicardia Supraventricular que apresenta de uma forma geral car\u00e1ter benigno por\u00e9m causa muito desconforto no paciente. De acordo com os \u00faltimos Guidelines Americano e Europeu \u00a0de Manejo da Taquicardia Supraventricular, no paciente est\u00e1vel, a primeira medida \u00e9 a Manobra Vagal. Se n\u00e3o acontecer a &hellip; <a href=\"https:\/\/arritmed.com.br\/?p=331\" class=\"more-link\">Continue lendo<span class=\"screen-reader-text\"> &#8220;Como administrar Adenosina?&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[50,90],"class_list":["post-331","post","type-post","status-publish","format-standard","hentry","category-sem-categoria","tag-adenosina","tag-taquicardia-supraventricular"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Como administrar Adenosina? -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/arritmed.com.br\/?p=331\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Como administrar Adenosina? -\" \/>\n<meta property=\"og:description\" content=\"Uma das arritmias mais prevalentes no Pronto Socorro Cardiol\u00f3gico \u00e9 a Taquicardia Supraventricular que apresenta de uma forma geral car\u00e1ter benigno por\u00e9m causa muito desconforto no paciente. De acordo com os \u00faltimos Guidelines Americano e Europeu \u00a0de Manejo da Taquicardia Supraventricular, no paciente est\u00e1vel, a primeira medida \u00e9 a Manobra Vagal. 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