Pediatric Bradycardia

Question 1

Pediatric Bradycardia “cardiopulmonary compromise” criteria

Answer 1

Hypotension
Acutely altered mental status
Signs of shock

Question 2

Pediatric Bradycardia - if cardiopulmonary compromise present next actions

Answer 2

ensure oxygenation and ventilation

if HR <60 with poor perfusion, despite ventilation begin CPR

Question 3

Pediatric Bradycardia - bradycardia persists after ventilation, oxygenation and CPR

Answer 3

Epinephrine 0.01 mg/kg SIVP to single max of 1 mg q 3-5 min

Question 4

Pediatric Bradycardia Atropine indication

Answer 4

Suspected increased vagal tone or primary AV block

Question 5

Pediatric Bradycardia - Bradycardia possible causes

Answer 5

Hypoxemia 
hypothermia
acidosis
hypotension
hypoglycemia

Question 6

Pediatric Bradycardia - Epinephrine Dose

Answer 6

0.01 mg/kg SIVP single max 1 mg q 3-5min

Question 7

Pediatric Bradycardia - Atropine Dose

Answer 7

0.02 mg/kg IV/IO single max 0.5mg q 3-5 min total of 0.04 mg/kg or 1 mg, whichever is less

Question 8

Pediatric Bradycardia - Atropine minimum dose

Answer 8

0.1 mg

Question 9

Pediatric Bradycardia - Atropine EMS contraindications

Answer 9

Hypersensitivity