Bradycardia Flashcards
1
Q
What are the first step in identifying and treating the underlying cause?
A
- Maintain airway, assist breathing as necessary
- Oxygen
- Cardiac monitor to identify the rhythm
- Monitor B/P
- Oximetry
- IV access
- 12-lead ECG
2
Q
What are the signs of symptomatic persistent bradycardia?
A
- HypoTN
- Altered MS
- Signs of sock
- Ischemic chest discomfort
- Acute heart failure
3
Q
What is the first line tx and dose for bradycardia?
A
- IV Atropine
- 0.5mg bolus
4
Q
How often do you repeat Atropine dose and what is the max dose?
A
- Repeat every 3-5 minutes
- Max 3 mg
5
Q
If atropine is ineffective what are the next steps?
A
- Subcutaneous pacing OR - Dopamine OR - Epinephrine
6
Q
What is the dose of Dopamine?
A
IV infusion 2-20 mcg/kg per minute.
7
Q
What is the dose of Epinephrine?
A
IV infusion 2-10 mcg per minute
8
Q
After pt has started to recover what should be considered?
A
- Expert consultation
- Transvenous pacing
