PALS: BRADYCARDIA

Question 1

First step to Bradycardia with a pulse and poor perfusion

Answer 1

Monitor

Oxygen

Vitals

IO / IV access

ECG / Airway Equipment

Check for signs of cardiopulmonary compromise

Question 2

Signs or cardiopulmonary compromise

Answer 2

Hypotension

Acutely Altered Mental Status

Signs of shock

Question 3

Next step if HR < 60 / min with poor perfusion despite oxygenation and ventilation

Answer 3

CPR

Question 4

Next step if bradycaria persists after CPR

Answer 4

Epinephrine 0.01 mg / kg q 3-5 min IO / IV

OR

Atropine 0.02 mg / kg
Min 0.1 mg
Max 0.5 mg