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12 Cards in this Set
- Front
- Back
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Treatment for Stable Unsymptomatic Bradycardia |
* Supportive care
* 12 lead to assess for ischemia or other abnormalities * Consider underlying causes |
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Signs and symptoms of Stable, Symptomatic Bradycardia |
dizziness, difficulty breathing, chest pain |
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Treatment for Stable Symptomatic Bradycardia |
* Fluid bolus
* 12 lead electrocardiogram (ECG) to assess for ischemia or other abnormalities * Atropine 0.5 mg; repeat every 3-5 minutes to a maximum combined dose of 3 mg |
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Treatment for Unstable Bradycardia |
* Transcutaneous pacing
* Atropine 0.5 mg IV; (may give one dose while setting up pacing, but do not delay pacing ) * Midazolam 1-2 mg IV as required for sedation as patient condition permits; may repeat one time after 5 mins as needed |
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Names and dosesof the Level 2 medications that may be administered in this protocol |
* Dopamine infusion 5 - 20 mcg/kg/min
* Epinephrine infusion 2 - 10 mcg/min (Reference: CT7 Epinephrine Drip Chart) * Additional sedation |
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When is Atropine contraindicated? |
* in the presence of acute coronary ischemia or an acute myocardial infarction (AMI).
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What is the dose of Midazolam in patients > 60 years old or with borderline blood pressure |
Half dose |
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Should 12 Lead EKG be done in Bradycardic patients? |
* 12 lead electrocardiogram (ECG) should be completed early to rule out an acute myocardial infarction (AMI), but it should not delay treatment if the patient is unstable
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What is the initial rate for Pacing?
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60 BPM |
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What is the initial milliamps for pacing?
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60 milliamps
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How many milliamps should the pacer be increased until mechanical capture occurs?
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Name two ways to verify mechanical capture
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Palpable pulse, by comparing the pulse rate measured by the pulse oximeter to the set pacing rate. |
