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It details the drug's mechanism of action, emphasizing its effect on slowing AV node conduction to reduce heart rate, and highlights the critical importance of safety due to its potential to cause cardiac arrest. The document identifies Adenosine as a common test question for nurses, specifying its indication as a first-line treatment for SVT, characterized by a heart rate exceeding 150 beats per minute. A step-by-step order of treatment for SVT is outlined, starting with vasovagal maneuvers, followed by rapid IV push administration of Adenosine with a saline flush, and concluding with cardioversion if necessary. A clear distinction is made between cardioversion and defibrillation, with mnemonic devices provided to help differentiate them. For cardioversion, the synchronized button is highlighted, along with the presence of a pulse and controlled rhythms, often requiring sedation. For defibrillation, the absence of a pulse and the presence of deadly rhythms (VFib & Vtach) are emphasized, noting that synchronization is not used in this scenario. 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