4405 Symptomatic Bradycardia with Pulses Flashcards
1
Q
Pertinent Environmental Findings
A
Drowning
Cold Exposure
OD
Insulin
2
Q
Pertinent Hx
A
OPQRST SAMPLE Medications Heart Surgery Heart Transplant Pacemaker
3
Q
Pertinent Physical Findings
A
Syncope Bradycardia Hypotension Ischemic chest discomfort Signs of acute heart failure Respiratory distress
4
Q
Differential Diagnoses
A
Resp. etiology especially in Peds AMI Congenital Heart Defects Myocarditis Beta/Calcium channel blockers Hypothermia Hypoglycemia
5
Q
Emergency Stabilization
A
Ensure adequate oxygenation and ventilation
BHO for all Peds
Atropine may repeat up to 5 times every 3-5 min
Midazolam for amnesia prior to TCP may repeat once
TCP begin at 20mA and 70BPM, use minimum amperage needed to gain capture, increas BPM 10 at a time (max 100) until adequate perfusion achieved
Morphine/Fentanyl for discomfort during TCP with BP>90 may repeat once
6
Q
BHO
A
Atropine for Peds
Epi for symptomatic brady
Midazolam for amnesia in TCP for Peds
Morphine/Fentanyl for discomfort in TCP for Peds
TCP for Peds
