Bradycardia 2.2

Question 1

Common causes of bradycardia

Answer 1

Hypoxemia
Acidosis
Hypothermia
Toxic ingestion/exposure
Cardiac Infarct
Late shock
Increased ICP

Question 2

When is bradycardia treated

Answer 2

Only with symptomatic patients

Question 3

Common S/S of bradycardia

Answer 3

Hypotension
AMS
Shortness of Breath
Chest Pain
Pulmonary Edema
CHF

Question 4

First line medication for stable symptomatic bradycardia

Answer 4

Atropine
0.5 - 1 mg IV/IO
Repeat every 3-5 minutes
Max dose of 3 mg

Question 5

Treatment of unstable bradycardia (CASH)

Answer 5

External Transcutaneous Pacing

Question 6

Drugs used for sedation while pacing

Answer 6

Versed
2mg IVP/IO/IN/IM
May repeat once

Valium
5mg IVP/IO/IN/IM
May repeat once

Question 7

Treatment if pacemake is ineffective

Answer 7

Dopamine or Epinephrine Infusion

Question 8

What may be considered before max dose of Atropine

Answer 8

Pacing

Question 9

What should be omitted in prescence of 2nd or 3rd degree AV Block

Answer 9

Atropine (Proceed to Pacing)

Question 10

What treatment should be used in prescence of Right Ventricular MI

Answer 10

Pacing in combination with IV fluids prior to use of atropine