bradycardia ( look in small notebok Flashcards
bradycardia is usually defined as
HR less than 40bpm w/ compromise
what are the 3 main categories that cause bradycardia
electrolyte imbalance, conduction disturbances, ectopic/reentry
outline some ways automaticity can decrease leading to bradycardia
-electrolyte imbalances
- sodium channel blockers overdose (meds that end in mide/pine/anti depressants)
- medication overdose
outline some ways conduction disturbances can lead to bradycardia
generally in older population, issues like AV blocks
outline ways ectopic beats/re-entry circuits can lead to bradycardia
another pacemaker takes over as the natural pacemaker of heart
symptoms of bradycardia
lightheadedness, grey, diaphoretic, chest pain
bradycardia in kids is usually caused by
hypoxia, hypovolemia, congenital disease
management of bradycardia
- 12 lead
- find underlying cause if possible and treat that if there
- threat if less then 40bpm with compromise
- IVA + pads
- ICP for atropine or interventions
brady is most commonly caused by
myocardial ischemia, especially in SA/AV node ischemia
why is treating bradycardia risk vs benefit
because increasing the HR increases the 02 demand
how is bradycardia due to beta blocker overdose treated
high dose adrenaline