Symptomatic Bradycardia

Question 1

What is the HR that determines bradycardia from a sinus rhythm?

Answer 1

60 bpm

Question 2

What 4 signs/symptoms are needed to treat a pt with symptomatic bradycardia?

Answer 2

Altered mental status
Hypotension
Chest pain
Shortness of breath

Question 3

If a patient has a bradycardic rhythm and is not symptomatic what should be done?

Answer 3

If the patient is greater than 40 years of age Call medical control, If less than 40 years of age monitor and transport

Question 4

If a patient is experiencing symptomatic bradycardia with a 1st° heart block, what drug and treatment plan should they receive?

Answer 4

Atropine- 1mg every 3-5 min

If atropine doesn’t work proceed to sedation and pacing

Question 5

If a patient is experiencing symptomatic bradycardia And has a possible 2nd or 3rd degree heart block how should they be treated?

Answer 5

Versed- 2 mg IV/MAD up to 10
Morphine- 5mg
Pacing- 80 Bpm