Bradycardia

Front 1

def of bradycardia

Back 1

HR <60 bpm & inadequate for clinical condition

Front 2

first three things to do

Back 2

1) maintain patent airway
2) assist breathing as needed
3) give oxygen

Front 3

Check and continually monitor these three things

Back 3

1) ECG (identify rhythem)
2) Blood pressure
3) puse ox

Front 4

What do you check for next?

Back 4

Is there adequate perfusion

Front 5

What are the signs or symptoms of poor perfusion caused by bradycardia?

Back 5

1) acute altered mental status
2) ongoing chest pain
3) hypotension

Front 6

If patient has adequate perfusion what do you do

Back 6

monitor

Front 7

If patient has poor perfusion, what do you do?

Back 7

Prepare for transcutaneous pacing
(without delay for high degree block [type II, 2nd degree or 3rd degree block)

Front 8

Any medications you should use while your waiting?

Back 8

Atropine 0.5mg IV

Front 9

How often do you repeat Atropine?
and what is the max dose?

Back 9

every 3-5 minutes
3 mg

Front 10

Any other drugs you can consider infusing while waiting for pacing?

Back 10

Epinephrine (2-10ug/min) or dopamine (2-10ug/kg/min

Front 11

Then what?

Back 11

Cardiology consult to prepare for tansvenous pacing