Bradycardia Algorithm Flashcards

0
Q

What are the symptoms of true bradycardia?

A
AMS
Chest pain
Dizziness
BP < 90 systolic
Shortness of breath
Nausea
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1
Q

What is bradycardia?

A

HR < 60 BPM

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2
Q

What’s the first step in treating bradycardia? (Really 3 steps in one)

A

O2, IV/IO, monitor

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3
Q

1st line drug for bradycardia?

A

Atropine - 0.5 mg rapid IV

Max of 3.0 mg

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4
Q

2nd line treatment for bradycardia?

A

TCP - TransCutaneous Pacing

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5
Q

What is the appropriate setting for pacing according to ACLS?

A

HR 60

mA 60

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6
Q

What is the second line drug, third line treatment for bradycardia?

A

Dopamine - 5.0-10.0 mcg/kg/min

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7
Q

What is the low dose of dopamine, and what effect does it have?

A

1-5 mcg/kg/min

Dopaminergic effect-dilates renal and messengering arteries

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8
Q

What is the mid dose of dopamine, and what effect does it have?

A

5-10 mcg/kg/min

Beta1 stimulation

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9
Q

What is the high dose of dopamine, and what effect does it have?

A

10-20 mcg/kg/min

Alpha1 stimulation

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10
Q

What is the fourth line drug for bradycardia?

A

Epinephrine drip 2 mcg/min

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