Adult Bradycardia 2021

Question 1

Bradycardia

Answer 1

HR <60

Question 2

Life threatening signs in bradycardia

Answer 2

Shock
Syncope
Myocardial ischaemia
HF

Question 3

Management of non life threatening bradycardia with no risk of asystole

Answer 3

Observe

Question 4

Risk factors for asystole in bradycardia

Answer 4

Recent asystole
Mobitz Type II AV block
Complete heart block with broad QRS
Ventricular pause > 3s

Question 5

Management of non life threatening bradycardia with risk of asystole

Answer 5

1. Atropine 500mcg IV
2. Repeat Atropine 500mcg IV up to max 3mg
3. Isoprenalin 5mcg IV min
4. Adrenaline 2-10mcg IV min
5. Alternative drugs (Aminophylline/Dopamine/Glucagon/Glycopyrrolate)

Or transcutaneous pacing

5. Seek expert advice
6. Arrange transvenous pacing

Question 6

Management of life threatening bradycardia

Answer 6

1. Atropine 500mcg IV
2. Repeat Atropine 500mcg IV up to max 3mg
3. Isoprenalin 5mcg IV min
4. Adrenaline 2-10mcg IV min
5. Alternative drugs (Aminophylline/Dopamine/Glucagon/Glycopyrrolate)

Or transcutaneous pacing

5. Seek expert advice
6. Arrange transvenous pacing

Question 7

Management of life threatening bradycardia that has had a satisfactory response to Atropine 500mcg IV but has a risk of asystole

Answer 7

1. Atropine 500mcg IV
2. Repeat Atropine 500mcg IV up to max 3mg
3. Isoprenalin 5mcg IV min
4. Adrenaline 2-10mcg IV min
5. Alternative drugs (Aminophylline/Dopamine/Glucagon/Glycopyrrolate)

Or transcutaneous pacing

5. Seek expert advice
6. Arrange transvenous pacing

Question 8

Management of life threatening bradycardia that has had a satisfactory response to Atropine 500mcg IV with no risk of asystole

Answer 8

Observe