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19 Cards in this Set
- Front
- Back
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In asymptomatic bradycardia, what steps do you initiate?
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Airway Management
IV NaCl KVO Contact Med Control |
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In Symptomatic Bradycardia (w/o 3rd Degree Block), what steps to you initiate?
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Lie patient flat with legs elevated.
IV NaCl @ KVO. 0.5 mg Atropine IV Fast repeated every 3 minutes if symptoms persist and until 0.04 mg/kg is reached. If refractory to Atropine, initiate Cardiac Pacing. |
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What is the maximum total amount of Atropine to be administered for Bradycardia?
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0.04 mg/kg
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For Bradycardia, how many minutes between Atropine administration?
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3 minutes
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In Symptomatic Bradycardia w/ a 3rd Degree Block, what steps to you initiate?
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IV NaCl @ KVO.
1.0 mg Atropine IV Fast repeated once in 3 minutes. If refractory to Atropine, initiate Cardiac Pacing. |
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In Bradycardia, what are the criteria for:
Giving 0.5 mg Atropine? Giving 1.0 mg Atropine? Giving no Atropine at all? |
0.5 mg - Symptomatic Bradycardia (decreased LOC, chest pain, dyspnea, and/or hypotension) without a 3rd Degree AV Block.
1.0 mg - Symptomatic Bradycardia (decreased LOC, chest pain, dyspnea, and/or hypotension) with a 3rd Degree AV Block. No Atropine - Asymptomatic Bradycardia. |
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In Bradycardia, is the Atropine administered Fast or Slow?
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Fast.
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In the bradycardia protocol, what do you do if the pulse increases to greater than 60 bpm but the systolic BP is less than 90 mm/Hg?
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If no pulmonary edema - Administer a 250 to 500 ml fluid challenge.
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What are the medication options if the Bradycardia is refractory to Atropine and Cardiac Pacing?
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Dopamine.
Epinephrine. Isuprel. |
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What is the dopamine mix concentration for Bradycardia?
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200 mg Dopamine mixed in 250 ml D5W to yield 800 micrograms/ml.
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For Bradycardia, how much Dopamine is administered and what are the flow rates?
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5 to 20 micrograms/kg/min.
Flow rates: 200 mcg/min = 15 microdrops/min 400 mcg/min = 30 microdrops/min 600 mcg/min = 45 microdrops/min 800 mcg/min = 60 microdrops/min |
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For Bradycardia, what steps require Med Control authorization?
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Cardiac Pacing.
Administration of Dopamine, Epinephrine, or Isuprel. |
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What is the Epinephrine mix concentration for Bradycardia?
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1.0 mg Epinephrine (1:1000) mixed in 500 ml D5W to yield 2.0 micrograms/ml.
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In the bradycardia protocol, how much Epinephrine is administered and what are the flow rates?
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2 to 10 micrograms/kg/min.
Flow rates: 2 mcg/min = 60 microdrops/min 3 mcg/min = 90 microdrops/min 4 mcg/min = 120 microdrops/min |
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What is the Isuprel mix concentration for Bradycardia?
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1.0 mg Isuprel mixed in 500 ml D5W to yield 2.0 micrograms/ml.
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In the bradycardia protocol, how much Isuprel is administered and what are the flow rates?
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2 to 10 micrograms/kg/min.
Flow rates: 2 mcg/min = 60 microdrops/min 3 mcg/min = 90 microdrops/min 4 mcg/min = 120 microdrops/min |
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The Bradycardia protocol states that you administer between 5 to 20 mcg/kg/min of Dopamine. How do you determine exactly how much Dopamine to administer?
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Set the flow at a rate which brings the pulse up to 60 bpm or a systolic BP greater than 90 mm/Hg.
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The Bradycardia protocol states that you administer between 2 and 10 mcg/kg/min of Epinephrine or Isuprel. How do you determine exactly how much to administer?
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Set the flow at a rate which brings the pulse up to 60 bpm or a systolic BP greater than 90 mm/Hg.
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In the Bradycardia Protocol, when should Epinephrine or Isuprel flow rates be decreased or discontinued?
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Decrease flow rate if PVCs occur. Discontinue if V-Tach of V-Fib develops.
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