Hi All,
I'm a medical student and recently was at the ER doing observations. I have a question for EMT's:
Here is case:
27 Yr old male, otherwise healthy, brought into ER with what EMT's described as sinus tachycardia according to their EKG. The story was the individual said he had been out jogging and became alarmed at his high pulse rate. Max HR at 170 BPM, BP @ 135/74. He was given 6mg of Adenosine to slow HR which according to them; worked temporarily.
Once in ER, patient described no occurances of chest pains or shortness of breath at any time.
Blood work, chest x ray, and EKG, all normal.
Drug urinalysis- negative
Patient complained of constant waves of anxiety which precipitated an increase in HR of about 110-120. Ativan 1 MG was administered and condition improved significantly and discharge was made approx. 3 hours after arrival.
Sorry for the long story, I wanted to give the whole picture.
My question: Why was adenosine given to someone with aside from the fast heart beat, normal sinus rhythm?
My understanding is that Adenosine is primarily used for SVT alone.