Bradycardia

Question 1

What are the signs and symptoms of bradycardia?

Answer 1

chest pain, respiratory distress, hypotension or shock, altered mental status, syncope

Question 2

What are the two parts of the EMT-B portion of this protocol?

Answer 2

1) Initial assessment: general impression, airway, breathing, circulation
2) Place the patient on the pulse oximeter and give O2 if needed.

Question 3

If the patient is not showing signs of poor perfusion or shock what are the Paramedic’s steps of this protocol?

Answer 3

Cardiac monitor, obtain a 12 lead, IV access, transport

Question 4

What are the signs and symptoms of inadequate perfusion?

Answer 4

AMS, chest pain, SOB, diaphoresis, hypotension, syncope

Question 5

If the patient is showing signs and symptoms of inadequate perfusion what are your two treatment options?

Answer 5

TCP or atropine

Question 6

What is the dosage of atropine in this situation?

Answer 6

0.5mg IVP, may repeat once is neccesary max dose is 3 mg.

Question 7

If atropine is ineffective:

Answer 7

administer TCP immediately at a rate of 70 bpm. Increase in 10mA increments until capture is achieved.

Question 8

Electrical capture is defined by:

Answer 8

a stimulus marker followed by a WIDE QRS marker w/ no underlying rhythm and followed by a T wave.

Question 9

Mechanical capture is confirmed when:

Answer 9

the patient’s pulse matches the displayed pace rate.

Question 10

Which artery should be used to confirm mechanical capture?

Answer 10

The right brachial or radial artery.

Question 11

If hypotension exists with bradycardia then you should treat the ______.

Answer 11

bradycardia