RRAPID BRADYARRHYTHMIAS

Question 1

What is seen on the ECG?

Answer 1

rate = < 50bpm

Question 2

ABCDE (2,5)

Answer 2

B

1. 15l/min of O2 non-rebreathe
2. O2 sats

C

1. IV access
2. bloods
3. blood cultures if sepsis is suspected
4. ECG
5. BP

Question 3

What is the treatment for bradycardias with adverse features? (3)

Answer 3

1. atropine 500mcg IV
2. repeat the dose every 3-5 mins up to a maximum of 3mg
3. transcutaneous pacing

Question 4

What is the treatment for bradycardia without adverse features? (3)

Answer 4

1. asess for risk of asystole
2. observe no risk of asystole
3. if asystole treat as bradycardia with adverse effects

Question 5

What are the adverse effects? (4)

Answer 5

1. shock
   - bp < 90mmHg
2. syncope
3. MI
4. heart failure