Adult Bradycardia

Question 0

Adult Bradycardia - Protocol applies to adults who are _________ bradycardic with a heart rate of less than _______ documented by _______, a systolic blood pressure less than _________ -AND- other signs or symptoms of hypoperfusion that may include ______ ________, ________, ________, __________, _________,_________.

Oxygen , adjust flow and delivery mode as needed with airway adjunct as needed.

Profound bradycardia may require __________________

Answer 0

symptomatically 
50bpm
monitor
90
decreased sensorium, diaphoresis, chest pain, capillary refill greater than 2 seconds, cool extremities, or cyanosis.  

Cardiopulmonary Resuscitation.

Question 1

Adult Bradycardia - First Line

ECG, 12 lead ECG, if possible
IV or IO access with NS at TKO titrate to SBP ___________
_______ _______ adjunct as needed.

Answer 1

90-100mmHg

Advanced Airway

Question 2

Adult Bradycardia

Symptomatic Type ____ degree blocks and __________ degree blocks shall have _______ implemented without delay.

Answer 2

2
third
pacing

Question 3

Adult Bradycardia - Atropine 1st dose

Answer 3

0.5mg IV/IO push

Question 4

Adult Bradycardia - Post atropine IF symptomatic bradycardia persists
do what ________

Answer 4

TCP

Question 5

Adult Bradycardia - Pacing HR

Answer 5

80bpm

Question 6

Adult Bradycardia - Versed for pacing
Route
Dose
Repeat

Answer 6

IV/IO - 1-6mg slow IV push
IM/IN - 2mg dose. May repeat X2 at 5min intervals

titrate to pt comfort

Question 7

Adult Bradycardia - IF no TCP available what do you do_______

Answer 7

Atropine

0.5mg-1mg IV/IO every 3-5min until 3.0 mg total given.

Question 8

Adult Bradycardia - What can you do after pacing.

-What 2 criteria need to be met.

Answer 8

Dopamine - Base Hospital Order

Begin with infusion of 10mcg/kg/min if bradycardia persists and if SBP < 90mmhg

Question 9

Adult Bradycardia - When should you avoid giving atropine

Answer 9

Acute MI